# BERGEN FAMILY CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124185434
- **Authorized official:** AMY MERCOVICH D.C. (PROVIDER)
- **Authorized official phone:** (585) 494-2870

## Contact information

- **Practice address:** 45 N LAKE AVE, BERGEN, NY 14416-9528
- **Practice address phone:** (585) 494-2870
- **Practice address fax:** (585) 494-2260
- **Mailing address:** 45 N LAKE AVE, PO BOX 606, BERGEN, NY 14416-9528
- **Mailing address phone:** (585) 494-2870
- **Mailing address fax:** (585) 494-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | X008349 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020