Gerald J Bergman Dpm Pc in Wantagh - Podiatrist

Gerald J Bergman Dpm Pc - NPI 1578644308

Gerald J Bergman Dpm Pc is a Podiatrist in Wantagh, New York. Gerald J Bergman Dpm Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Gerald J Bergman Dpm Pc is 1578644308. The last update date is 2020-08-22.

Gerald J Bergman Dpm Pc's current location address is 1400 Wantagh Ave, Wantagh, New York. You can contact this provider via phone number 5167811943 and fax number 5167811943. The mailing address for Gerald J Bergman Dpm Pc is 1400 Wantagh Ave, Wantagh, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gerald J Bergman Dpm Pc
Address 1400 Wantagh Ave, Wantagh, New York
Phone Number 5167811943
Fax Number 5167811943
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PODIATRIST
Authorized Official Name Bergman J Gerlad
Credentials DPM
Telephone Number 5167811943

NPI Number Detail

NPI Number 1578644308
Provider Enumeration Date 2006-10-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1400 Wantagh Ave
City Wantagh
State New York (NY)
Post Code 117932210
Phone Number 5167811943
Fax Number 5167811943

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No N0018861
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
401538 NY --
30766 GHI
P2890117 OXFORD

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FAQs about Gerald J Bergman Dpm Pc

What is the unique 10-digit identification code issued to Gerald J Bergman Dpm Pc by the Centers for Medicare & Medicaid Services?

The Gerald J Bergman Dpm Pc has been assigned the NPI (National Provider Identifier) 1578644308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Gerald J Bergman Dpm Pc is geographically located?

The Gerald J Bergman Dpm Pc is physically situated at the following location: 1400 Wantagh Ave, Wantagh, NY, 117932210.

What is the Gerald J Bergman Dpm Pc's specialty and taxonomy code?

The Gerald J Bergman Dpm Pc's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.

When did Gerald J Bergman Dpm Pc receive its 1578644308 assignment?

The Gerald J Bergman Dpm Pc was assigned its 1578644308 on 2006-10-18, which is the date when this unique identifier was issued to the organization.

When was the information related to Gerald J Bergman Dpm Pc most recently updated or refreshed?

The details pertaining to the Gerald J Bergman Dpm Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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