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Individual

MR. PATRICK PAUL BERGMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS,CCC

Contact information

Practice address
9 W SAND LAKE RD, WYNANTSKILL, NY 12198-7954
(518) 690-2060
(518) 690-7111
Mailing address
48 THOMPSON HILL RD., RENSSELAER, NY 12144
(518) 943-0591
(518) 943-0591

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002039
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10102164
CDPHP
NY
01
4899688
GHI-PPO
NY
01
50802000004
FIDELAS
NY
Enumeration date
06/21/2005
Last updated
01/26/2022
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