Individual
DR. LINDA SUSAN BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
83 STONY HOLLOW ROAD, CENTERPORT, NY 11721-1750
(631) 754-4567
(631) 754-2707
Mailing address
83 STONY HOLLOW ROAD, CENTERPORT, NY 11721-1750
(631) 754-4567
(631) 754-2707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004927-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF00096
MDNY
NY
Enumeration date
05/04/2007
Last updated
07/08/2007
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