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Contact Information

PHILLIP BERGES
200 BELLE TERRE RD STE 110
PORT JEFFERSON, NY11777-1928
 Phone: 631-642-9805
 Fax: 631-642-9805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PHILLIP BERGES · (Male)

NPI Number 1932556636
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2016
Last updated 02/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 298475
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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