Gail Marie Bergin
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
1225 Morris Park Ave
Bronx
, New York 10461-1929
Gail Marie Bergin
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
1225 Morris Park Ave
Bronx
, New York 10461-1929
(718) 839-7212
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Gail Marie Bergin
- 1225 Morris Park Ave
- Bronx, NY
- Zip : 10461-1929
- Fax : (718) 839-7212
- Phone : (718) 430-0038
Second Address
- Gail Marie Bergin
- 1225 Morris Park Ave
- Bronx, NY
- Zip : 10461-1929
- Fax : (718) 839-7212
- Phone : (718) 430-0038
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 26NR09777100 | NJ |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | F332513 | NY |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | NN097771 | NJ |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F400675 | NY |
National Provider Identifier
| NPI | 1033123823 |
|---|---|
| Provider Name | Gail Marie Bergin |
| First Address | Bronx, NY 10461-1929 |
| Second Address | Bronx, NY 10461-1929 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 14/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8447802 | (05) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.