Doctor Name: | DR. EMERY BERCZELLER |
NPI Number: | 1114348950 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 093874-1 |
Business Practice Address: | 10255 67th Dr Forest Hills, NY - 113752865 |
Business Phone Number: | 7188960293 |
Business Fax Number: | |
Mailing Address: | 10255 67th Dr, FOREST HILLS |
State: | NY |
Postal Code: | 113752865 |
Phone Number: | 7188960293 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2013 |
NPI Last Update Date: | 12/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 093874-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |