Individual
DR. CAROL THUYTIEN BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 WEST STATE STREET, ITHACA, NY 14850
(607) 277-4341
(607) 277-1506
Mailing address
209 WEST STATE STREET, ITHACA, NY 14850
(607) 277-4341
(607) 277-1506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274298
NY
Other
Enumeration date
08/17/2011
Last updated
09/25/2014
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