License holder summary

SUPALA-BERGER AGNES Z is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SUPALA-BERGER AGNES Z is GRAND ISLAND NY. This doctor license is not current. The license was granted 11/22/2005.

New York

Office of the Professions

SUPALA-BERGER AGNES Z
Medicine (Physician, Including M Ds & D Os)
License number
238333
Date granted
11/22/2005
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
GRAND ISLAND NY
nymedicine.org
ID 30291354
LAST UPDATED 2026-04-26 02:16:45 UTC

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