Individual
MICHAEL JOSEPH BERTOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 LIBERTY ST, PATCHOGUE, NY 11772-4014
(631) 289-3972
Mailing address
26 LIBERTY ST, PATCHOGUE, NY 11772-4014
(631) 289-3972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003318-1
NY
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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