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Contact Information

TAMMY L BERGEN
22 US OVAL STE 100
PLATTSBURGH, NY12903-5901
 Phone: 518-578-1442
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for TAMMY L BERGEN · (Female)

NPI # 1265907943
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2018
Last updated 10/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # P13611
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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