Berger, Audrey Marilyn

Berger, Audrey Marilyn is an individual health care provider with primary practice located at 300 White Spruce Blvd , Rochester NY 14623-1606. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berger, Audrey Marilyn can be contacted via phone (585) 292-0095.

Contact Information

Primary practice address
300 White Spruce Blvd Rochester NY 14623-1606
Phone: (585) 292-0095
Fax: (585) 424-7592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 007207-1 New York

Profile Details

NPI number 1639148273
LBN Legal business name Berger, Audrey Marilyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1639148273 NPPES
New York Other 103225FC PREFERRED CARE PROVIDERID
New York Other 007207 PREFERRED CARE PROVIDERID

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