Individual
MRS. JOANNA DANIELLE BERGENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 ELLEN PL, KINGS PARK, NY 11754-3606
(631) 806-5427
Mailing address
24 ELLEN PL, KINGS PARK, NY 11754-3606
(631) 806-5427
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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