Individual
MR. CHRISTOPHER J BERTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
1 RIVER RD BLDG 43, SCHENECTADY, NY 12345-8309
(518) 385-7011
Mailing address
1 RIVER RD, SCHENECTADY, NY 12345-6000
(518) 385-7011
(518) 385-3797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015229-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03396782
—
NY
Enumeration date
10/17/2011
Last updated
09/23/2020
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