Jeffrey Michael Bergman
Hospice and Palliative Medicine
506 6th St
Brooklyn
, New York 11215-3609
Jeffrey Michael Bergman
Hospice and Palliative Medicine
506 6th St
Brooklyn
, New York 11215-3609
(631) 465-6300
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About
Features
Specialties
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Jeffrey Michael Bergman
- 110 Bi County Blvd Ste 114
- Farmingdale, NY
- Zip : 11735-3923
- Phone : (631) 465-6300
Second Address
- Jeffrey Michael Bergman
- 506 6th St
- Brooklyn, NY
- Zip : 11215-3609
- Phone : (718) 780-5246
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0002X | Hospice and Palliative Medicine | 281892 | NY |
National Provider Identifier
| NPI | 1023375037 |
|---|---|
| Provider Name | Jeffrey Michael Bergman |
| First Address | Farmingdale, NY 11735-3923 |
| Second Address | Brooklyn, NY 11215-3609 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2012 |
| Last Update Date | 13/06/2020 |
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.