Individual
BERTA KADOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
222 E MIDDLE COUNTRY RD STE 330, SMITHTOWN, NY 11787-2814
(631) 393-1670
Mailing address
146 WINDWARD DR, PORT JEFFERSON, NY 11777-2330
(347) 761-4040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
317807
NY
Other
Enumeration date
04/02/2019
Last updated
10/27/2022
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