Berry, Michael Ezra

Berry, Michael Ezra is an sole proprietor health care provider with primary practice located at 4037 74Th St , Elmhurst NY 11373-5603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Berry, Michael Ezra can be contacted via phone (718) 651-7000.

Contact Information

Primary practice address
4037 74Th St Elmhurst NY 11373-5603
Fax: (718) 606-8966
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 245263 New York

Profile Details

NPI number 1962692152
LBN Legal business name Berry, Michael Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Nov 10th, 2020 - about 4 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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