Bergasa, Nora V.

Bergasa, Nora V. is an sole proprietor health care provider with primary practice located at 760 Broadway Subspecialty Clinics, Hepatology, Brooklyn NY 11206-5317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Bergasa, Nora V. can be contacted via phone (718) 963-5811.

Contact Information

Primary practice address
760 Broadway Subspecialty Clinics, Hepatology Brooklyn NY 11206-5317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 164977-1 New York

Profile Details

NPI number 1396739553
LBN Legal business name Bergasa, Nora V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396739553 NPPES
New York MEDICAID 01634151

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