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1174554703
DARA BERGEN
FOREST HILLS, NY
NPI
1174554703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 005450)
Enumeration Date
2006-07-05
Last Update Date
2009-02-02
Business Address
-- DARA BERGEN RD
11241 QUEENS BLVD SUITE 100
FOREST HILLS, NY 11375-5564
Phone number: 718-544-0770
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Mailing Address
-- DARA BERGEN RD
11241 QUEENS BLVD SUITE 100
FOREST HILLS, NY 11375-5564
Phone number: 718-544-0770
Copy
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