NPI 1104967249 · live from the CMS NPI Registry
Abbey Lynn Berg, Ph.D.
Audiologist in New York, NY. National Provider Identifier 1104967249, active.
NPI record
| NPI | 1104967249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 3959 Broadway, Room 503 Central, New York, NY 10032 |
| Practice phone | 212-305-0656 |
| Mailing address | 245 W 107th St, Apartment 2f, New York, NY 10025 |
| Enumerated | February 10, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 000494-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.