Berry, Jay H

Berry, Jay H is an individual health care provider with primary practice located at 609 Main St , Farmingdale NY 11735-4100. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Berry, Jay H can be contacted via phone (516) 694-0775.

Contact Information

Primary practice address
609 Main St Farmingdale NY 11735-4100
Phone: (516) 694-0775
Fax: (516) 694-1692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 033670 New York

Profile Details

NPI number 1023299518
LBN Legal business name Berry, Jay H
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023299518 NPPES
New York MEDICAID 01101468

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