Individual provider · Type 1 NPI

Edmara T. P. Bergamo, DDS

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1366121071 Active

Practice location

345 E 24th St
New York, NY 10010-4020

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366121071

Edmara T. P. Bergamo, DDS's National Provider Identifier is 1366121071, issued on Jul 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jul 12, 2023.