Bergasa, Nora V.
Bergasa, Nora V. is an sole proprietor health care provider with primary practice located at 760 Broadway Subspecialty Clinics, Hepatology, Brooklyn NY 11206-5317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Bergasa, Nora V. can be contacted via phone (718) 963-5811.Contact Information
Primary practice address
760 Broadway Subspecialty Clinics, Hepatology
Brooklyn NY 11206-5317
Phone: (718) 963-5811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 164977-1 | New York |
Profile Details
| NPI number | 1396739553 |
|---|---|
| LBN Legal business name | Bergasa, Nora V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396739553 | NPPES |
| New York | MEDICAID | 01634151 |
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