Bergin, Gail Marie

Bergin, Gail Marie is an individual health care provider with primary practice located at 1225 Morris Park Ave , Bronx NY 10461-1929. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bergin, Gail Marie can be contacted via phone (718) 430-0038.

Contact Information

Primary practice address
1225 Morris Park Ave Bronx NY 10461-1929
Phone: (718) 430-0038
Fax: (718) 839-7212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332513 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NN097771 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NR09777100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400675 New York

Profile Details

NPI number 1033123823
LBN Legal business name Bergin, Gail Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 5th, 2023 - about last year

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 1033123823 NPPES
New Jersey MEDICAID 8447802

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