Robert Bergida | |
11614 Metropolitan Ave Richmond Hill NY 11418-1017 | |
(718) 849-9472 | |
(718) 849-5483 |
Full Name | Robert Bergida |
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Speciality | Dentist |
Location | 11614 Metropolitan Ave, Richmond Hill, New York |
Authorized Official Name and Position | Robert Bergida (OWNER) |
Authorized Official Contact | 7188499472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Robert Bergida 11614 Metropolitan Ave Richmond Hill NY 11418-1017 Ph: (718) 849-9472 | Robert Bergida 11614 Metropolitan Ave Richmond Hill NY 11418-1017 Ph: (718) 849-9472 |
NPI Number | 1942541081 |
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Provider Enumeration Date | 03/14/2013 |
Last Update Date | 04/08/2013 |
Medicare PECOS PAC ID | 4183860364 |
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Medicare Enrollment ID | O20130412000212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942541081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 034363 (New York) | Primary |
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