MR. HERBERT VW BERGAMINI (NPI# 1891807079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891807079 |
| Entity Type | Individual |
| Full Name | MR. HERBERT VW BERGAMINI |
| Credential | MD |
| Practice Address |
26 Swiss Road Lake Placid NY 12946 |
| Practice Telephone | 5185233395 |
| Practice Fax Number | 5185232115 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0792951 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00526774 | 05 | |
| NY | DEA | AB3446348 | 01 |
| NY | LICENSE | 0792951 | 01 |
| Street Address |
26 SWISS ROAD |
| City | LAKE PLACID |
| State | NY |
| Zip Code | 12946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255507497 | Mountain Lake Children's Residence, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 386 River Road, Lake Placid, NY 12946 | 2008-05-07 |
| 1376761411 | Barbara Lynn Lawrence | Technician/Technologist | 96 Nash Street, Lake Placid, NY 12946 | 2007-04-23 |
| 1437202728 | Lake Placid Central School District | Local Education Agency (LEA) | 50 Cummings Road, Lake Placid, NY 12946 | 2007-01-19 |
| 1700952652 | Marcia Jo Dareff-wenn | Social Worker | 18 Coyote Way, Lake Placid, NY 12946 | 2006-11-24 |
| 1235129701 | Lake Placid Volunteer Ambulance Service Inc | Ambulance | 388 Mill Pond Drive, Lake Placid, NY 12946 | 2005-10-26 |
| 1982949251 | Colleen Porter | Occupational Therapist | 185 Old Military Rd, Lake Placid, NY 12946 | 2012-11-28 |
| 1053595496 | Richard S. Donela | Podiatrist | Adirondack Medical Center, 29 Church St., Lake Placid, NY 12946 | 2007-12-20 |
| 1861578502 | Karen L Merrihew-knox | Physical Therapist | 34 School St, Lake Placid Central School, Lake Placid, NY 12946 | 2006-10-27 |
| 1548328149 | Andrew James Donatello | Specialist/Technologist | 10 Northwood Rd, Lake Placid, NY 12946-0062 | 2006-12-05 |
| 1407939853 | Karen Ann White | Psychologist | 55 Barn Rd, Suite 203, Lake Placid, NY 12946-1050 | 2006-10-21 |
| Find all providers in zip 12946 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396934287 | A B Roa Medical Center Pa | General Practice | 201 Us Highway 27 S, Lake Placid, FL 33852-7904 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | LAKE PLACID |
| Zip Code | 12946 |
Please comment or provide details below to improve the information on MR. HERBERT VW BERGAMINI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.