Individual
LILY CLAIRE BERGSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 RIVER RD, NEW PALTZ, NY 12561-3008
(845) 645-8052
Mailing address
368 SUITE 202, KINGSTON, NY 12401-7217
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
804823737
NY
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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