Berger, Dan

Berger, Dan is an sole proprietor health care provider with primary practice located at 38 Woodbine Ave , Stony Brook NY 11790-1544. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Berger, Dan can be contacted via phone (631) 751-4340.

Contact Information

Primary practice address
38 Woodbine Ave Stony Brook NY 11790-1544
Phone: (631) 751-4340
Fax: (631) 689-0451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4343 New York

Profile Details

NPI number 1447374525
LBN Legal business name Berger, Dan
Credentials ED.D., ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447374525 NPPES
New York MEDICAID 00393646

Popular Providers