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Individual

DANA BERGSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STUDENTS WITH DISABI

Contact information

Practice address
255 EXECUTIVE DR, SUITE 108, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
111 S CENTRE AVE, APT # 3TT, ROCKVILLE CENTRE, NY 11570-5749
(516) 594-0137

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
850700
NY

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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