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Organization
GERALD J BERGMAN DPM PC
Active
Organization
GERALD J BERGMAN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERLAD J BERGMAN DPM (PODIATRIST)
(516) 781-1943
Entity
Organization
Contact information
Practice address
1400 WANTAGH AVE, SUITE 202, WANTAGH, NY 11793-2210
(516) 781-1943
(516) 781-1943
Mailing address
1400 WANTAGH AVE, SUITE 202, WANTAGH, NY 11793-2210
(516) 781-1943
(516) 781-1943
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0018861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030766
GHI
—
05
—
00401538
—
NY
01
—
P2890117
OXFORD
—
Enumeration date
10/18/2006
Last updated
08/22/2020
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