Bergamo, Katherine
Bergamo, Katherine is an individual health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940-2115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bergamo, Katherine can be contacted via phone (845) 342-4774.Contact Information
Primary practice address
111 Maltese Dr
Middletown NY 10940-2115
Phone: (845) 342-4774
Fax: (845) 343-8741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F336906 | New York |
Profile Details
| NPI number | 1578833844 |
|---|---|
| LBN Legal business name | Bergamo, Katherine |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2012 |
| Last updated | Mar 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578833844 | NPPES |
| New York | Other | F336906 | LICENSE |
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