Individual
BERGEN BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(612) 801-1520
Mailing address
210 W DIVISION ST APT 40, SYRACUSE, NY 13204-1592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039190-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354590
—
NY
Enumeration date
08/18/2015
Last updated
08/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us