Bergman, Geoffrey W
Bergman, Geoffrey W is an individual health care provider with primary practice located at 520 E 70Th St # Starr-4 , New York NY 10021-9800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bergman, Geoffrey W can be contacted via phone (212) 746-4644.Contact Information
Primary practice address
520 E 70Th St # Starr-4
New York NY 10021-9800
Phone: (212) 746-4644
Fax: (212) 746-8295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 191690 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 191690 | New York |
Profile Details
| NPI number | 1982791075 |
|---|---|
| LBN Legal business name | Bergman, Geoffrey W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Jun 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982791075 | NPPES |
| New York | MEDICAID | 01421383 |
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