Individual
JULIAN BERMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 BIG TREE RD STE 108, ORCHARD PARK, NY 14127-2291
(716) 204-3200
Mailing address
2540 SHERIDAN DR, TONAWANDA, NY 14150-9410
(716) 204-3200
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
043325
NY
Other
Enumeration date
08/22/2018
Last updated
07/03/2019
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