Individual
YESHAYE BERGSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5409 19TH AVE, BROOKLYN, NY 11204
(646) 761-9783
(646) 930-7084
Mailing address
5409 19TH AVE, BROOKLYN, NY 11204-1654
(646) 761-9783
(646) 930-7084
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
04614426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04614426
—
NY
Enumeration date
06/07/2017
Last updated
07/21/2022
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