Provider Demographics
NPI:1679894703
Name:BERGMAN, ARI (MD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:
Last Name:BERGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:284 PULASKI RD FL 2
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-1602
Mailing Address - Country:US
Mailing Address - Phone:631-271-1608
Mailing Address - Fax:631-271-1968
Practice Address - Street 1:284 PULASKI RD FL 2
Practice Address - Street 2:
Practice Address - City:GREENLAWN
Practice Address - State:NY
Practice Address - Zip Code:11740-1602
Practice Address - Country:US
Practice Address - Phone:631-271-1608
Practice Address - Fax:631-271-1968
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2022-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY286873208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology