Individual
ALEXANDRA BERGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 PENNY ST, WEST ISLIP, NY 11795-1010
(631) 383-3008
Mailing address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(516) 806-6969
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1610732221
NY
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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