Individual
LEAH R BERKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1550
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
218559
NY
208M00000X
Hospitalist Physician
Primary
218559
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02333773
—
NY
05
—
02361746
—
NY
Enumeration date
09/20/2005
Last updated
05/07/2021
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