| Robert Berke Md | |
|
95 E Chautauqua St Mayville NY 14757-1017 | |
| (716) 753-7107 | |
| (716) 753-7980 |
| Full Name | Robert Berke Md |
|---|---|
| Speciality | Family Medicine |
| Location | 95 E Chautauqua St, Mayville, New York |
| Authorized Official Name and Position | Robert Berke (MD/OWNER) |
| Authorized Official Contact | 7167537107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Berke Md 95 E Chautauqua St Po Box 168 Mayville NY 14757-1017 Ph: (716) 753-7107 | Robert Berke Md 95 E Chautauqua St Mayville NY 14757-1017 Ph: (716) 753-7107 |
| NPI Number | 1932151438 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 07/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932151438 | NPI | - | NPPES |
| 01804333 | Medicaid | NY | |
| 000512246001 | Other | NY | BCBSWNY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |