Individual provider · Type 1 NPI

Ajay V. Berdia, MD

Specialist · Port Jefferson, NY

NPI number 1801891908 Active

Practice location

640 Belle Terre Road, Building H
Port Jefferson, NY 11777-0001

Call (631) 474-1112 Map

Fax (631) 474-1112

Mailing address

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X196859 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1801891908

Ajay V. Berdia, MD's National Provider Identifier is 1801891908, issued on Jun 15, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jun 6, 2014.