Individual
DR. JONAH S. BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
205 E 64TH ST STE 101, NEW YORK, NY 10065-6673
(212) 888-4000
(212) 888-4151
Mailing address
205 E 64TH ST STE 101, NEW YORK, NY 10065-6673
(212) 888-4000
(212) 888-4151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006223
NY
Other
Enumeration date
10/11/2006
Last updated
02/06/2019
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