TYANNA BERGERON

PHYSICIAN CARE PC

Dr TYANNA BERGERON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.

Contact

PHYSICIAN CARE PC

3045 E AVE
CENTRAL SQUARE
NY
13036

Tel: 3156681202

TYANNA BERGERON Information

Npi 1891257630
Pac Id 6901149970
Professional Enrollment Id I20190514001908
Last Name BERGERON
First Name TYANNA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PHYSICIAN CARE PC
Group Practice Pac Id 9032367453
Number Of Group Practice Members 39
Line 1 Street Address 3045 E AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CENTRAL SQUARE
State NY
Zip Code 13036
Phone Number 3156681202
Hospital Affiliation Ccn 1 330218
Hospital Affiliation Lbn 1 OSWEGO HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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