MEDICARE: DR. ROBERTO C.M. BERGAMASCHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD420914	PA
2	208600000X	Surgery Physician	250434-1	NY

General Provider Information

NPI Number	:	1497755318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO C.M. BERGAMASCHI MD

Provider Business Mailing Address
First Line	:	HSC T19 020
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-8191
Country	:	US
Telephone Number	:	631-444-2704
Fax Number	:	631-444-6348

Provider Business Practice Location Address
First Line	:	HSC T19-020
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-8191
Country	:	US
Telephone Number	:	631-444-2704
Fax Number	:	631-444-6348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	05/02/2017

Similar Medicare Providers

1083694541 — DR. VINAY MANOHAR TAK MD, FRCS(ED), FACS
Practice Location Address:

STONY BROOK HOSPITAL , 100 NICHOLS ROAD
STONY BROOK, NY
11794-8191

Practice Phone: 631-444-2034
Practice Fax: 631-444-8947

1114993177 — RANDEEP S JAWA MD
Practice Location Address:

STONY BROOK SURGICAL ASSOCIATES UFPC , SBUMC HSC LEVEL 19, RM 020
STONY BROOK, NY
11794-8191

Practice Phone: 631-444-7875
Practice Fax:

1073563953 — AARON R SASSON MD
Practice Location Address:

HST LEVEL 18 RM 065
STONY BROOK, NY
11794-8191

Practice Phone: 631-444-8086
Practice Fax: 631-444-7871

1124071824 — NORMAN CRUZ NP
Practice Location Address:

STONY BROOK UMC , HSC 18-040
STONY BROOK, NY
11794-8191

Practice Phone: 631-444-7989
Practice Fax: 631-444-6176

1588694673 — DR. MARK A TALAMINI M.D.
Practice Location Address:

HST 19 020
STONY BROOK, NY
11794-8191

Practice Phone: 631-444-7875
Practice Fax: 631-444-8947

1659486710 — LAURA JEAN HETTRICH NP
Practice Location Address:

STONY BROOK HOSPITAL HSC T19 020
STONY BROOK, NY
11794-8191

Practice Phone: 631-444-0650
Practice Fax:

Directions to “ DR. ROBERTO C.M. BERGAMASCHI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.