MEDICARE: DR. CHARLES BERK MD

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
1	207Q00000X	Family Medicine Physician	173438	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144274150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES BERK MD

Provider Business Mailing Address
First Line	:	794 UNION ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1307
Country	:	US
Telephone Number	:	212-624-1077
Fax Number	:	212-867-4353

Provider Business Practice Location Address
First Line	:	794 UNION ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1307
Country	:	US
Telephone Number	:	212-624-1077
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	03/17/2025

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Directions to “ DR. CHARLES BERK MD” Practice Location

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