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NPI Code Detail

MEDICARE: KENDRA BERGERON

MEDICARE:   KENDRA  BERGERON
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
1225XR0403XDriving and Community Mobility Occupational Therapist030785NY

General Provider Information

NPI Number : 1932066404
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA BERGERON
Provider Business Mailing Address
First Line : 2522 VAN DYKE AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12306-3834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19 ROBINSON RD
Second Line :
City : CLINTON
State : NY
Zip : 13323-1418
Country : US
Telephone Number : 315-853-6090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ KENDRA BERGERON ” Practice Location

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