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Contact Information

DARA BERGEN, RD
11241 QUEENS BLVD
SUITE 100
FOREST HILLS, NY11375-5564
 Phone: 718-544-0770
 Fax: 718-261-5522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for DARA BERGEN · (Female)

NPI # 1174554703
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 07/05/2006
Last updated 02/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 005450
  • NY Other BD5450 ATLANTIS
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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