Paul S. Berg
Gastroenterologist
2001 Marcus Ave Suite N204
New Hyde Park
, New York 11042-2061
Paul S. Berg
Gastroenterologist
2001 Marcus Ave Suite N204
New Hyde Park
, New York 11042-2061
(516) 977-8589
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Paul S. Berg
- 130 Shore Rd #139
- Port Washington, NY
- Zip : 11050-2205
- Fax : (516) 977-8589
- Phone : (516) 684-9229
Second Address
- Paul S. Berg
- 2001 Marcus Ave Suite N204
- New Hyde Park, NY
- Zip : 11042-2061
- Fax : (516) 977-8589
- Phone : (516) 684-9229
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 198682 | NY |
National Provider Identifier
| NPI | 1003870429 |
|---|---|
| Provider Name | Paul S. Berg |
| First Address | Port Washington, NY 11050-2205 |
| Second Address | New Hyde Park, NY 11042-2061 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 07/02/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.