Organization
BERGMAN ORTHOTIC & PROSTHEIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN SCOTT BERGMAN CO (PRESIDENT)
(718) 639-6771
Entity
Organization
Contact information
Practice address
5901 69TH ST, MASPETH, NY 11378-2946
(718) 639-6771
(718) 639-5184
Mailing address
5901 69TH ST, MASPETH, NY 11378-2946
(718) 639-6771
(718) 639-5184
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01818611
—
NY
Enumeration date
08/15/2006
Last updated
08/27/2010
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