Individual
JENNIFER BERGSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 BROADHOLLOW RD, NOLD HALL, FARMINGDALE, NY 11735-1006
(631) 420-2539
Mailing address
105 ABBOTT ST, NORTH MASSAPEQUA, NY 11758-1602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002222
NY
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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