Individual
BRIAN J BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
Mailing address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02494860
—
NY
Enumeration date
10/04/2005
Last updated
08/10/2009
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