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Individual

MISS NICHOLE MARIE BERGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
175 ROUTE 304, BARDONIA, NY 10954-2042
(845) 507-0477
(845) 507-0490
Mailing address
7 BROOKHILL DR, WEST NYACK, NY 10994-2101
(845) 480-4432

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
025947
NY

Other

Enumeration date
04/21/2013
Last updated
04/21/2013
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