Individual
CASEY E BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 CLAY PITTS RD, EAST NORTHPORT, NY 11731-3801
(631) 368-5252
Mailing address
82 SYOSSET CIR, SYOSSET, NY 11791-4808
(516) 652-5114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020101-01
NY
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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