Individual
DR. MARIA THERESA BERTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4417 VESTAL PARKWAY EAST, VESTAL, NY 13850-3556
(607) 770-7365
(607) 729-5882
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
264159
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2009
Last updated
09/27/2012
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