Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 302691 | NY |
Y | 111NI0900X | Internist | 302691 | NY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 302691 | NY |
NPI | 1760914634 |
---|---|
Provider Name | William Berger |
First Address | Greenlawn, NY 11740-1624 |
Second Address | Greenlawn, NY 11740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2017 |
Last Update Date | 26/10/2020 |