Provider Demographics
NPI:1679360200
Name:BERGERET, GENEVIEVE (CERTIFIED DOULA, CLC)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:BERGERET
Suffix:
Gender:
Credentials:CERTIFIED DOULA, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 PINEHURST AVE APT 5F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-4502
Mailing Address - Country:US
Mailing Address - Phone:646-926-7609
Mailing Address - Fax:
Practice Address - Street 1:69 PINEHURST AVE APT 5F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-4502
Practice Address - Country:US
Practice Address - Phone:646-926-7609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula