Doctor Name: | DR. AKIVA BERSSON |
NPI Number: | 1053672808 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | 057282 |
Business Practice Address: | 2 Cloverdale Ln Monsey, NY - 109522401 |
Business Phone Number: | 8453710093 |
Business Fax Number: | |
Mailing Address: | 2 Cloverdale Ln, MONSEY |
State: | NY |
Postal Code: | 109522401 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/07/2012 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 057282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |