Individual provider · Type 1 NPI

Angelina C. Bergano

Specialist · Port Jefferson Station, NY

NPI number 1578400321 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Mailing address

12 Maymont Ln
Stony Brook, NY 11790-2927

Other practice locations

  • 90 Adams Ave Ste B, Hauppauge, NY 11788-3631 · (631) 392-0081

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X174400000X (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

168 other providers at this address

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About NPI 1578400321

Angelina C. Bergano's National Provider Identifier is 1578400321, issued on Apr 30, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 30, 2026.