Individual
MR. ENGELBERT BERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13028 222ND ST, LAURELTON, NY 11413-1240
(347) 528-2130
(718) 276-4508
Mailing address
13028 222ND ST, LAURELTON, NY 11413-1240
(347) 528-2130
(718) 276-4508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F341684-1
NY
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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