Individual
MRS. BERTY ATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
571 CHAPMAN ST, HILLSIDE, NJ 07205-1722
(561) 846-1369
Mailing address
571 CHAPMAN ST, HILLSIDE, NJ 07205-1722
(561) 846-1369
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309205
NY
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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