Berk, Jason S.
Berk, Jason S. is an individual health care provider with primary practice located at Stony Brook University Hospital Medical Staff Office T14, Stony Brook NY 11794-7148. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Berk, Jason S. can be contacted via phone (631) 444-2754.Contact Information
Primary practice address
Stony Brook University Hospital Medical Staff Office T14
Stony Brook NY 11794-7148
Phone: (631) 444-2754
Fax: (631) 444-6031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 055473-1 | New York |
Profile Details
| NPI number | 1265676746 |
|---|---|
| LBN Legal business name | Berk, Jason S. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2009 |
| Last updated | Nov 21st, 2016 - about 10 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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