Individual
MS. MEGAN BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E 41ST ST, NEW YORK, NY 10017-6739
(646) 825-6300
Mailing address
289 EMPIRE BLVD APT 5A, BROOKLYN, NY 11225-3548
(609) 937-9014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
713936
NY
363L00000X
Nurse Practitioner
Primary
309937
NY
Other
Enumeration date
10/20/2020
Last updated
08/09/2022
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