Provider Demographics
NPI:1982640082
Name:BERGER, ALAN CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CHARLES
Last Name:BERGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 DOVE CT
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1600
Mailing Address - Country:US
Mailing Address - Phone:914-827-0453
Mailing Address - Fax:914-862-4221
Practice Address - Street 1:271 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4118
Practice Address - Country:US
Practice Address - Phone:212-532-5993
Practice Address - Fax:212-532-1822
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX85881Medicare ID - Type UnspecifiedMEDICARE #