Provider Demographics
NPI:1124054218
Name:BERGA, SARAH LEE (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LEE
Last Name:BERGA
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1001 MAIN STREET
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:336-716-2255
Mailing Address - Fax:
Practice Address - Street 1:1001 MAIN STREET
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-636-8284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01864207VE0102X
NY303821-01207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A93162Medicare UPIN