Bergamo Podiatry Pllc

LBN: Bergamo Podiatry Pllc
Bergamo Podiatry Pllc is an health care organization with primary practice located at 110 E Main St , Middletown NY 10940-5119. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Bergamo Podiatry Pllc can be contacted via phone (845) 343-6050, or through Bergamo, Gregory John via phone (845) 343-6050.

Contact Information

Primary practice address
110 E Main St Middletown NY 10940-5119
Phone: (845) 343-6050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bergamo, Gregory John Doctor of Podiatric Medicine (DPM)
Phone: (845) 343-6050

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NOO5115 New York

Profile Details

NPI number 1730472903
LBN Legal business name Bergamo Podiatry Pllc
DBA Doing business as
Authorized official Bergamo, Gregory John Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2011
Last updated May 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730472903 NPPES
New York MEDICAID 01515273
New York Other 1164420881

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