Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 147427 | NY |
NPI | 1003892969 |
---|---|
Provider Name | William J Berger |
First Address | New Hyde Park, NY 11042-1011 |
Second Address | Manhasset, NY 11030-3001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 18/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0096071 | GHI (01) | NY |
00963837-9 | (05) | NY |
08307 | GHI MEDICARE (01) | NY |
147427-9 | WORKMANS COMP (01) | NY |
26336 | VYTRA (01) | NY |
29434 | AETNA (01) | NY |
370071P | HIP (01) | NY |
AS566 | OXFORD (01) | NY |
B78927 | (02) | NY |