JESSE BERGENBAUM

FOREST HILLS, NY
NPI1649669052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  021775)
Enumeration Date2015-01-22
Last Update Date2015-01-22
Business Address
-- JESSE BERGENBAUM M.S CCC-SLP
7000 AUSTIN ST
FOREST HILLS, NY 11375-1022
Phone number: 718-762-7633
Mailing Address
-- JESSE BERGENBAUM M.S CCC-SLP
226 E MAIN ST
HUNTINGTON, NY 11743-2920
Phone number: 917-837-8268
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