RUSSELL BERGEN

NEW YORK, NY
NPI1538395751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  029740)
Enumeration Date2009-06-02
Last Update Date2009-06-02
Business Address
-- RUSSELL BERGEN MPT
622 W 168TH ST THRID FLOOR -ROOM 304
NEW YORK, NY 10032-3720
Phone number: 212-305-8401
Mailing Address
-- RUSSELL BERGEN MPT
622 W 168TH ST THRID FLOOR -ROOM 304
NEW YORK, NY 10032-3720
Phone number: 212-305-8401
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