Individual provider · NPI-1

Eric J Bergson, M.D.

Otolaryngology · Islandia, NY

NPI number1831160688
StatusActive
Last updated in NPPESApr 2, 2019

Details

NPI
1831160688
Entity type
Individual (NPI-1)
Name
Eric J Bergson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 30, 2006
Last updated
Apr 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology230892NYYes
207YS0012X Otolaryngology, Sleep Medicine230892NY

Practice location

2929 Expressway Dr N
Islandia, NY 11749-5306

Phone 631-665-2430 · Fax 631-665-2342

Mailing address

660 White Plains Rd Fl 4
Tarrytown, NY 10591-5139

Phone 914-984-2546

Other practice locations

240 Patchogue Yaphank Rd Ste 1
East Patchogue, NY 11772-4894

Phone 631-654-0550

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