Individual
DR. ROBERT IVAN BERETVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5000
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
119770
MO
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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