Individual
DR. BERNETTA LYNNE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 YORK ST, BROOKLYN, NY 11201-1509
(718) 630-7942
(718) 630-7000
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3352
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
301639-01
NY
208000000X
Pediatrics Physician
A91477
CA
208000000X
Pediatrics Physician
MD 60265069
WA
208000000X
Pediatrics Physician
MD150622
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A914770
—
CA
Enumeration date
08/31/2006
Last updated
08/06/2021
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