Berson, Robert J

Berson, Robert J is an individual health care provider with primary practice located at 747 Montauk Hwy , West Islip NY 11795-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Berson, Robert J can be contacted via phone (631) 587-5444.

Contact Information

Primary practice address
747 Montauk Hwy West Islip NY 11795-4911
Phone: (631) 587-5444
Fax: (631) 587-4938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 118380 New York

Profile Details

NPI number 1093881716
LBN Legal business name Berson, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated May 8th, 2012 - about 12 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 1093881716 NPPES
Other 2194 VYTRA
Other 1099813 VYTRA
Other 112677136019 VYTRA
Other 118380 VYTRA
Other 522479 VYTRA
Other 78L771 VYTRA
Other 85727 VYTRA
Other 4093624 VYTRA
Other AA00111 VYTRA
Other CS167 VYTRA

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