Individual
ANNA S BERESNEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 HOSPITAL DR, MASSENA, NY 13662-1037
(315) 769-4638
(315) 842-3099
Mailing address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4200
(315) 769-4353
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
266412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03781826
—
NY
Enumeration date
12/05/2007
Last updated
01/20/2015
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