Individual
DR. JAMES STEPHEN BERTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3217 BAYSWATER CT, FAR ROCKAWAY, NY 11691-1605
(718) 839-0946
Mailing address
3217 BAYSWATER CT, FAR ROCKAWAY, NY 11691-1605
(718) 839-0946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
250372
NY
Other
Enumeration date
02/01/2009
Last updated
08/01/2011
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