| Organization Name: | BERRY HILL MEDICAL ASSOCIATES, MD PC |
| NPI Number: | 1720147606 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN J. NELSON (PRESIDENT) |
| Mailing Address: | 898 Oyster Bay Rd A East Norwich |
| State: | NY US |
| Postal Code: | 117321051 |
| Phone Number: | 5169226546 |
| Fax Number: | 5169226811 |
| NPI Enumeration Date: | 12/07/2006 |
| NPI Last Update Date: | 02/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 125202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |