Bergeron, Carol Veronica

Bergeron, Carol Veronica is an sole proprietor health care provider with primary practice located at 1300 Roanoke Ave , Riverhead NY 11901-2031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bergeron, Carol Veronica can be contacted via phone (631) 548-6207.

Contact Information

Primary practice address
1300 Roanoke Ave Riverhead NY 11901-2031
Fax: (631) 548-6223
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F 301900-1 New York

Profile Details

NPI number 1164446431
LBN Legal business name Bergeron, Carol Veronica
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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