Leslie Bergson

Primary specialty

SpecialistTaxonomy code 174400000X

License

1134590 Issued in NY

Practice address

225 E 36TH St
1F
New York, NY 10016-3670

Phone

(845) 304-7577

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1689083495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 36TH ST",
            "address_2": "1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 36TH ST",
            "address_2": "1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163670",
            "telephone_number": "845-304-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSON",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1134590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharone Bergner, PH.D.
• Monica Adrianne Bergnes, LCSW
• Rebeca E. Bergofsky I, CLINICAL SOCIAL WORK
• Nicoline Bergsma
• Karen Leslie Bergsman, PSY.D.
• Carly Rachel Bergstein, LMSW
• David Bergstein, M.A., LMHC
• Victoria Elyse Bergstein, MD
• Taylor Bergstraesser
• David Wilton Bergstrand, MD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.