Most Relevant Information
Provider Data
| NPI Number: | 1003830886 |
| Provider Name: | SHELLEY R. BERSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | 173585 |
Most Important Dates
| Enumeration Date: | 07/26/2006 |
| Last Updated: | 06/21/2012 |
Provider Practice Location
2 STRAWTOWN RD
SUITES 6 & 7
WEST NYACK
NY
109941847
Practice Location Phone/Fax
| Phone: | 8457271340 |
| Fax: | 8457271349 |
Provider Mailing Location
2 STRAWTOWN ROAD
SUITES 6 & 7
WEST NYACK
NY
10994
Provider Mailing Phone/Fax
| Phone: | 8457271340 |
| Fax: | 8457271349 |
Suggested EMR
ENT EMR