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Organization

COMPREHENSIVE OT, PT, SLP & ADULT HEALTH NP SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERGSON LOUIS-JACQUES (CEO)
(845) 641-9413
Entity
Organization

Contact information

Practice address
8 KENSINGTON WAY, MIDDLETOWN, NY 10940-2104
(845) 641-9413
(800) 509-6099
Mailing address
8 KENSINGTON WAY, MIDDLETOWN, NY 10940-2104
(845) 641-9413
(800) 509-6099

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
Case Management Agency
252Y00000X
Early Intervention Provider Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07282433
NY
Enumeration date
02/16/2023
Last updated
02/16/2023
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