Bergin, Nicolle A
Bergin, Nicolle A is an sole proprietor health care provider with primary practice located at 1231 Deer Park Ave , North Babylon NY 11703-3104. 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. Bergin, Nicolle A can be contacted via phone (631) 667-0388.Contact Information
Primary practice address
1231 Deer Park Ave
North Babylon NY 11703-3104
Phone: (631) 667-0388
Fax: (631) 968-7705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F309189-01 | New York |
Profile Details
| NPI number | 1093377954 |
|---|---|
| LBN Legal business name | Bergin, Nicolle A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Jul 1st, 2019 - about 5 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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