Individual
MRS. STEPHANIE ANN BERGAMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
200 WESTAGE BUSINESS CTR DR, SUITE 119, FISHKILL, NY 12524-2264
(845) 897-2905
(845) 897-2908
Mailing address
85 NEWFIELD AVE, SUITE B, EDISON, NJ 08837-3816
(732) 346-1333
(732) 346-9221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
863831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11610373
CAQH
NY
Enumeration date
10/13/2006
Last updated
07/08/2007
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