Jack G Bertolino in Lewiston - Family Medicine

Jack G Bertolino - NPI 1043271752

Jack G Bertolino is a Family Medicine in Lewiston, New York. Jack G Bertolino practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack G Bertolino is 1043271752. The last update date is 2007-07-08.

Jack G Bertolino's current location address is 5320 Military Rd, Lewiston, New York. You can contact this provider via phone number 7162971153 and fax number 7162975458. The mailing address for Jack G Bertolino is 5320 Military Rd, Lewiston, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack G Bertolino
Address 5320 Military Rd, Lewiston, New York
Phone Number 7162971153
Fax Number 7162975458
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043271752
Provider Enumeration Date 2006-03-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5320 Military Rd
City Lewiston
State New York (NY)
Post Code 140922149
Phone Number 7162971153
Fax Number 7162975458

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 180670
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Jack G Bertolino

What is the unique identifier code issued to Jack G Bertolino by the Centers for Medicare & Medicaid Services?

The Jack G Bertolino has been assigned the NPI (National Provider Identifier) 1043271752. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jack G Bertolino is physically located?

The Jack G Bertolino is situated at the following address: 5320 Military Rd, Lewiston, NY 140922149.

What is Jack G Bertolino's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jack G Bertolino's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Jack G Bertolino receive its 1043271752 assignment from the Centers for Medicare & Medicaid Services?

The Jack G Bertolino was assigned its 1043271752 by the Centers for Medicare & Medicaid Services on 2006-03-31.

When was the information regarding Jack G Bertolino most recently updated?

The details pertaining to the Jack G Bertolino, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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