Provider Demographics
NPI:1730108895
Name:BERGER, LYNN CLAUDINE (MD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:CLAUDINE
Last Name:BERGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942A ROUTE 146
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3614
Mailing Address - Country:US
Mailing Address - Phone:518-371-8000
Mailing Address - Fax:518-371-5338
Practice Address - Street 1:942A ROUTE 146
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3614
Practice Address - Country:US
Practice Address - Phone:518-371-8000
Practice Address - Fax:518-371-5338
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226657208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6018610OtherMVP HEALTHCARE
NY863X91OtherEMPIRE BC
NY300652OtherSENIOR WHOLE HEALTH
NY02966049Medicaid
NY10131559OtherCDPHP
NY5075773OtherAETNA
NY000417677001OtherBSNENY
NY080520000082OtherFIDELIS
NY126089OtherGHI-HMO
NY000417677001OtherBSNENY