Individual
GEOFFREY W BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 E 70TH ST # STARR-4, NEW YORK, NY 10021-9800
(212) 746-4644
(212) 746-8295
Mailing address
520 E 70TH ST # STARR-4, NEW YORK, NY 10021-9800
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
191690
NY
207RI0011X
Interventional Cardiology Physician
Primary
191690
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01421383
—
NY
Enumeration date
10/09/2006
Last updated
06/30/2023
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