Berg, Kathrin

Berg, Kathrin is an individual health care provider with primary practice located at 200 North St Suite 101, Geneva NY 14456-1561. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berg, Kathrin can be contacted via phone (315) 787-5100.

Contact Information

Primary practice address
200 North St Suite 101 Geneva NY 14456-1561
Phone: (315) 787-5100
Fax: (315) 787-5108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 197565 New York

Profile Details

NPI number 1710053673
LBN Legal business name Berg, Kathrin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Nov 28th, 2011 - about 15 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 1710053673 NPPES
New York Other P010197565 BLUE CHOICE
New York Other 102800DL BLUE CHOICE
New York MEDICAID 01542694 BLUE CHOICE
New York Other 2697341 BLUE CHOICE
New York Other P010197565 BLUE CHOICE

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