# HERMON FAMILY HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811057367
- **Authorized official:** DR. GARY R BERK M.D. (M.D.)
- **Authorized official phone:** (315) 347-2191

## Contact information

- **Practice address:** 105 MAIN ST, HERMON, NY 13652-3100
- **Practice address phone:** (315) 347-2191
- **Mailing address:** 1111 PATTERSON ST, OGDENSBURG, NY 13669-3840
- **Mailing address phone:** (315) 393-9113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 158982-1 | NY | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020