MEDICARE: RACHEL E BERGANG 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	171100000X	Acupuncturist	218436	NY
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	218436	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073516332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL E BERGANG MD

Provider Business Mailing Address
First Line	:	315 E 83RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-4301
Country	:	US
Telephone Number	:	212-986-9200
Fax Number	:	212-986-9400

Provider Business Practice Location Address
First Line	:	315 E 83RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028
Country	:	US
Telephone Number	:	212-986-9200
Fax Number	:	212-986-9400

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/30/2018

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Directions to “ RACHEL E BERGANG MD” Practice Location

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