ROBERT BERGEN

FOREST HILLS, NY
NPI1740436393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R025838)
Enumeration Date2008-08-14
Last Update Date2008-08-14
Business Address
-- ROBERT BERGEN LCSW
11241 QUEENS BLVD SUITE 203
FOREST HILLS, NY 11375-5564
Phone number: 917-769-9636
Mailing Address
-- ROBERT BERGEN LCSW
69-34 B 186TH LANE
FRESH MEADOWS, NY 11365-4434
Phone number: 917-769-9636
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