Individual
INGRID BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
242 SO CENTRAL AVE, MECHANICVILLE, NY 12118
(518) 664-4185
(518) 539-2003
Mailing address
242 SO CENTRAL AVE, MECHANICVILLE, NY 12118
(518) 664-4185
(518) 539-2003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236934
NY
Other
Enumeration date
10/11/2006
Last updated
10/26/2012
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