Individual ProviderItay BergerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address30 West 168th Street, New York, NY 10032(332) 250-6870PECOS EnrollmentBased on the most recent information from CMS, provider Itay Berger does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023713237Provider TypeIndividualFull NameBerger, ItayTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date4/5/2023Last Updated4/5/2023Contact InformationPractice LocationPractice Address30 West 168th Street, New York, NY 10032Phone(332) 250-6870FaxUnlisted FaxMailing LocationMailing Address504 E 63rd St, New York, NY 10065-7919Phone(332) 250-6870FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer