CAROL VERONICA BERGERON

RIVERHEAD, NY
NPI1164446431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F 301900-1)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- CAROL VERONICA BERGERON anp
1300 ROANOKE AVE
RIVERHEAD, NY 11901-2031
Phone number: 631-548-6207
Mailing Address
-- CAROL VERONICA BERGERON anp
66 OLEETA RD
MOUNT SINAI, NY 11766-2507
Phone number: 631-331-2129