Individual
DR. LINDA MARIE BERTSCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9259 59TH AVE, ELMHURST, NY 11373-5018
(718) 271-6444
(718) 699-0222
Mailing address
39 BUNNELL PL, WEST BABYLON, NY 11704-6417
(631) 669-4991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005080-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
941390
EYEMED VISIONCARE PROVIDE
NY
Enumeration date
06/10/2007
Last updated
07/08/2007
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