Bergman, Marion J

Bergman, Marion J is an individual health care provider with primary practice located at 285 Sills Rd Building 7, Suite B, East Patchogue NY 11772-4869. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Bergman, Marion J can be contacted via phone (631) 654-4577.

Contact Information

Primary practice address
285 Sills Rd Building 7, Suite B East Patchogue NY 11772-4869
Phone: (631) 654-4577
Fax: (631) 654-3391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 1338101 New York

Profile Details

NPI number 1386630960
LBN Legal business name Bergman, Marion J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386630960 NPPES
New York MEDICAID 00667203

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