Individual
CATHERINE SOPHIE BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 RIDGE RD, LACKAWANNA, NY 14218-1653
(267) 614-6353
Mailing address
5782 MAIN ST STE 1, WILLIAMSVILLE, NY 14221-8219
(716) 833-9000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
749757-1
NY
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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