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Individual

MICHAEL I BERGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
953 49TH STREET, BROOKLYN, NY 11219
(718) 283-8380
Mailing address
953 49TH STREET, BROOKLYN, NY 11219
(718) 283-8380

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
142331
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00997053
NY
Enumeration date
03/31/2006
Last updated
02/10/2014
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