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NPI Code Detail

MEDICARE: MS. RHODA BERGER NPP

MEDICARE: MS. RHODA BERGER NPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF400389-1NY
2363LP0808XPsychiatric/Mental Health Nurse PractitionerF400389NY

General Provider Information

NPI Number : 1457447559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RHODA BERGER NPP
Provider Business Mailing Address
First Line : 1217 DITMAS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-6031
Country : US
Telephone Number : 718-469-6922
Fax Number :
Provider Business Practice Location Address
First Line : 1268 E 14TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5241
Country : US
Telephone Number : 718-382-0045
Fax Number : 929-306-7445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 10/31/2023

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