Organization
ALINA BERGAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALINA BERGAN D.D.S. (OWNER)
(516) 374-2882
Entity
Organization
Contact information
Practice address
650 CENTRAL AVE, SUITE F, CEDARHURST, NY 11516-2301
(516) 374-2882
(516) 374-2886
Mailing address
650 CENTRAL AVE, SUITE F, CEDARHURST, NY 11516-2301
(516) 374-2882
(516) 374-2886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02718129
—
NY
Enumeration date
06/19/2011
Last updated
06/19/2011
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