Individual
NATASHA ANTOINETTE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
11855 224TH ST, CAMBRIA HEIGHTS, NY 11411-2109
(646) 327-5672
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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