Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 139848 | NY |
Y | 2081P2900X | Pain Medicine | 139848 | NY |
NPI | 1326364944 |
---|---|
Provider Name | Dr. Eric S Berger |
First Address | Rego Park, NY 11374-2739 |
Second Address | Rego Park, NY 11374-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 30/08/2021 |