Individual
THOMAS A BERSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 VICKERY RD, SUITE A, NORTH SYRACUSE, NY 13212-4540
(315) 422-3937
(315) 422-4432
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
170204
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
170204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820000028
RRMCR
—
Enumeration date
07/29/2005
Last updated
03/19/2025
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