Mayerberger, Scott A.

Mayerberger, Scott A. is an individual health care provider with primary practice located at 475 E Main St Ste 114, Patchogue NY 11772-3121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mayerberger, Scott A. can be contacted via phone (631) 475-7700.

Contact Information

Primary practice address
475 E Main St Ste 114 Patchogue NY 11772-3121
Phone: (631) 475-7700
Fax: (631) 307-9911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 198877 New York

Profile Details

NPI number 1073614145
LBN Legal business name Mayerberger, Scott A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Apr 25th, 2017 - about 7 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 1073614145 NPPES
New York MEDICAID 01694480

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