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Lisa Bergenbaum

NPI 1134543754 · on the registry since 2014 · sole proprietor

Practice

Address
9130 Metropolitan Ave
Forest Hills, NY 11375
Phone
(718) 286-4700
Clinicians at this address
10

Additional practice sites

  • 7000 Austin St Ste 200, Forest Hills, NY

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York