Individual provider · NPI-1

Dr. David Bergman, M.D.

Obstetrics & Gynecology, Maternal & Fetal Medicine · Mineola, NY

NPI number1427070655

StatusActive

Last updated in NPPESMar 13, 2017

Details

NPI: 1427070655
Entity type: Individual (NPI-1)
Name: Dr. David Bergman
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jul 24, 2006
Last updated: Mar 13, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207VM0101X	Obstetrics & Gynecology, Maternal & Fetal Medicine	164214	NY	Yes
207V00000X	Obstetrics & Gynecology	164214	NY
207VG0400X	Obstetrics & Gynecology, Gynecology	164214	NY
207VX0000X	Obstetrics & Gynecology, Obstetrics	164214	NY

Practice location

300 Old Country Rd
Suite 202
Mineola, NY 11501-4198

Phone 516-747-4616

Mailing address

300 Old Country Rd
Suite 202
Mineola, NY 11501-4198

Phone 516-747-4616

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