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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE BERGENBAUM, M.S CCC-SLP

Active

JESSE BERGENBAUM, M.S CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in FOREST HILLS, New York. NPI 1649669052 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · FOREST HILLS, NY

Registration Details

NPI Number
1649669052
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2015 (11.561733119187 yrs)
Last Updated
Jan 22, 2015
License
021775 (NY)

Practice Information

Address
7000 AUSTIN ST
FOREST HILLS, NY, 113751022
Browse NY providers · Browse ZIP 11375
Phone
7187627633
Fax
7188868694
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in FOREST HILLS, NY

Name Credential NPI
GINA M REESE SLP 1275697260
MS. CORINNE D SANDUSKY CCC-SLP 1326186933
MR. HOWARD GARY JASTROW MA, CCC 1851431985
ANNA LUCIA HENAO-LIRIANO M.S. CCC, BIL SLP 1255475521
MS. CYNTHIA S COHEN CCC-SLP 1295951101
MRS. MELISSA L. CONCEPCION M.A., CCC-SLP 1417141946
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.