| Northeast Medical Practice, Pc | |
|
17 Maple Dr Ste 5 Great Neck NY 11021-2000 | |
| (516) 604-3418 | |
| Not Available |
| Full Name | Northeast Medical Practice, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17 Maple Dr Ste 5, Great Neck, New York |
| Authorized Official Name and Position | William A Berger (OWNER/MD) |
| Authorized Official Contact | 5166043418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Medical Practice, Pc 17 Maple Dr Ste 5 Great Neck NY 11021-2000 Ph: (516) 604-3418 | Northeast Medical Practice, Pc 17 Maple Dr Ste 5 Great Neck NY 11021-2000 Ph: (516) 604-3418 |
| NPI Number | 1700571353 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 9830550631 |
|---|---|
| Medicare Enrollment ID | O20230726001981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700571353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William Adam Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760914634 PECOS PAC ID: 0547509820 Enrollment ID: I20200925001872 |
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