MISS Nichole Marie Bergin, LMT

NPI #1033553060 in Bardonia, New York

Provider Information

NPI Number: 1033553060
Entity Type: Individual
Name: MISS Nichole Marie Bergin, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 21, 2013
Last Updated: Apr 21, 2013

Practice Location

Address: 175 ROUTE 304
City: Bardonia
State: New York
ZIP Code: 10954-2042
Phone: (845) 507-0477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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