Individual
ANDREA INTARTAGLIA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 HARRISON ST, SUITE 117, SYRACUSE, NY 13202-3188
(315) 464-6100
(315) 464-9245
Mailing address
550 HARRISON ST, SUITE 117, SYRACUSE, NY 13202-3188
(315) 464-6100
(315) 464-9245
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
269857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03722167
—
NY
Enumeration date
01/03/2008
Last updated
02/04/2014
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