Individual
ANDREA BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
33 E 23RD ST, NEW YORK, NY 10010-3639
(212) 685-2047
(212) 685-2501
Mailing address
33 E 23RD ST, NEW YORK, NY 10010-3639
(212) 685-2047
(212) 685-2501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03135603
OH
183500000X
Pharmacist
051299632
IL
183500000X
Pharmacist
Primary
063773
NY
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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