Organization Name: | DR STEVEN BERLEY & DR KEITH HOERNING PTR |
NPI Number: | 1093932659 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA BERLEY (OFFICE MANAGER) |
Mailing Address: | 290 East Sunrise Hwy Lindenhurst |
State: | NY US |
Postal Code: | 11757 |
Phone Number: | 6312263600 |
Fax Number: | 6312263607 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |