Individual provider · NPI-1

Katherine Bergamo, FNP

Nurse Practitioner, Family · Middletown, NY

NPI number1578833844
StatusActive
Last updated in NPPESMar 2, 2021

Details

NPI
1578833844
Entity type
Individual (NPI-1)
Name
Katherine Bergamo
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2012
Certification date
Mar 2, 2021
Last updated
Mar 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF336906NYYes

Practice location

111 Maltese Dr
Middletown, NY 10940-2115

Phone 845-342-4774 · Fax 845-343-8741

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1301

Phone 607-547-3273 · Fax 607-547-4648

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