Individual
MISS BILLIE JEAN BERTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 WEST STREET, 10TH FLOOR, NEW YORK, NY 10282
(212) 357-6339
Mailing address
200 WEST STREET, 10TH FLOOR, NEW YORK, NY 10282
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
11/21/2012
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