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Individual

DR. JESSE LYLE BERTRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-2900
(212) 523-2842
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
25MA10605700
NJ
208M00000X
Hospitalist Physician
Primary
315437
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2016
Last updated
04/29/2022
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