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Individual

ARMI BERGANCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7133 SUTTON PL # 2, FRESH MEADOWS, NY 11365-4135
(718) 380-2792
Mailing address
7133 SUTTON PL # 2, FRESH MEADOWS, NY 11365-4135

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024494
NY

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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