Individual
CAMILLE BERGERON-PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 AMSTERDAM AVE, NEW YORK, NY 10025-6901
(212) 865-4104
Mailing address
43 W 68TH ST APT 1B, NEW YORK, NY 10023-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300621
NY
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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