Port Washington Gastroenterology, PC
NPI #1134401474 in New Hyde Park, New York
Provider Information
- NPI Number
- 1134401474
- Entity Type
- Organization
- Organization Name
- Port Washington Gastroenterology, PC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 13, 2011
- Last Updated
- Nov 26, 2012
Practice Location
- Address
- 2001 MARCUS AVE
- Address 2
- SUITE N204
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11042-2061
- Phone
- (516) 684-9229
Authorized Official
- Name
- DR. PAUL S BERG, M.D
- Title
- PHYSICIAN
- Phone
- (516) 684-9229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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