DOMINICK ANTHONY SHAO-BERKERY

WALDWICK, NJ
NPI1205213337
Former NameDOMINICK ANTHONY BERKERY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95000377)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  598181)
Enumeration Date2015-04-27
Last Update Date2023-03-29
Business Address
DOMINICK ANTHONY SHAO-BERKERY
66 SHERIDAN AVE
WALDWICK, NJ 07463-2210
Phone number: 415-999-6543
Mailing Address
DOMINICK ANTHONY SHAO-BERKERY
622 WEST 168TH STREET PH 505, 5TH FLOOR
NEW YORK, NY 10032-3720
Phone number: 415-999-6543