Individual
DR. IRA M BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 PARK AVE, #1E, NY, NY 10128
(212) 289-4128
(212) 289-4219
Mailing address
1160 PARK AVE, #1E, NY, NY 10128
(212) 289-4128
(212) 289-4219
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
168691
NY
Other
Enumeration date
09/11/2006
Last updated
01/10/2020
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