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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386630960 | NPPES |
| New York | MEDICAID | 00667203 |
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