Individual
KEVIN BERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3830 UNION RD, CHEEKTOWAGA, NY 14225-4212
(716) 383-2730
Mailing address
795 INDIAN CHURCH RD, BUFFALO, NY 14224-1205
(716) 895-6700
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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