Individual
JESSICA BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 NEW KARNER RD, ALBANY, NY 12205-3874
(518) 393-0391
(518) 372-3281
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000415821003
BSNENY
NY
05
—
02598630
—
NY
01
—
070606000041
FIDELIS
NY
01
—
10092905
CDPHP
NY
01
—
116107
GHI/HMO
NY
01
—
200787
SENIOR WHOLE HEALTH
NY
01
—
367731
MVP
NY
01
—
5223P1
EMPIRE BC
NY
01
—
7617595
AETNA
NY
Enumeration date
03/31/2006
Last updated
02/05/2020
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