Individual
BERTHA ATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89310 CIRCLE DR, CENTRAL ISLIP, NY 11722-5218
(516) 408-0435
Mailing address
89310 CIRCLE DR, CENTRAL ISLIP, NY 11722-5218
(516) 408-0435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
995618
NY
164W00000X
Licensed Practical Nurse
336694
NY
Other
Enumeration date
04/13/2023
Last updated
08/19/2025
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