Berg, Stephanie Lisa

Berg, Stephanie Lisa is an individual health care provider with primary practice located at 179 Sullys Trl Ste 200 , Pittsford NY 14534-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Berg, Stephanie Lisa can be contacted via phone (585) 275-7301.

Contact Information

Primary practice address
179 Sullys Trl Ste 200 Pittsford NY 14534-4500
Phone: (585) 275-7301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31221 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 340874 New York

Profile Details

NPI number 1508809831
LBN Legal business name Berg, Stephanie Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 5th, 2025 - about last year

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 1508809831 NPPES
South Carolina MEDICAID 312218
South Carolina MEDICAID 0727552
South Carolina Other 20148

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