Individual
ELIZABETH BERGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
525 E 68TH ST, M404, NEW YORK, NY 10021-4870
(212) 746-5150
Mailing address
215 E 95TH ST, APT 17H, NEW YORK, NY 10128-4077
(212) 744-5831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003930-1
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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