Individual
MRS. ANDREA BERGAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ED
Contact information
Practice address
56 W MAIN ST, KINGS PARK, NY 11754-1606
(631) 544-0708
Mailing address
56 W MAIN ST, KINGS PARK, NY 11754-1606
(631) 544-0708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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