Individual
JEFFREY W BERNDTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3345 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1506
(716) 656-4826
(716) 250-5981
Mailing address
6255 SHERIDAN DR, STE 108, WILLIAMSVILLE, NY 14221-4825
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
224211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02280404
—
NY
Enumeration date
10/20/2005
Last updated
11/07/2019
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