MRS. Joanna Danielle Bergenti
NPI #1417793480 in Kings Park, New York
Provider Information
- NPI Number
- 1417793480
- Entity Type
- Individual
- Name
- MRS. Joanna Danielle Bergenti
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 8, 2024
- Last Updated
- Jul 8, 2024
Practice Location
- Address
- 24 ELLEN PL
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-3606
- Phone
- (631) 806-5427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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