Individual
AKIVA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 477-6900
Mailing address
2315 VICTORY BLVD, STATEN ISLAND, NY 10314-6623
(718) 477-6900
(718) 477-7862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
237680-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116247
GHI HMO
NY
01
—
0145892
GHI PPO
NY
05
—
02724972
—
NY
01
—
0414218
EVERCARE
NY
01
—
1466318
AETNA HMO
NY
01
—
185524
ELDERPLAN
NY
01
—
237680
HIP
NY
01
—
3032S1
EMPIRE BCBS
NY
01
—
5C8688
HEALTHNET
NY
01
—
7466899
AETNA PPO
NY
01
—
BA7680
ATLANTIS HEALTH PLAN
NY
01
—
P3807648
OXFORD
NY
Enumeration date
05/01/2006
Last updated
04/01/2008
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