Individual
KAREN IRINDA BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
132 1/2 ALBANY STREET, CAZENOVIA, NY 13035
(315) 655-8171
(315) 655-5923
Mailing address
7647 BROADFIELD ROAD, MANLIUS, NY 13104
(315) 247-3060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
259421
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03461956
—
NY
Enumeration date
12/01/2008
Last updated
02/06/2014
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