Individual
BRIDGIT BERTHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7131 66TH ST, GLENDALE, NY 11385-7065
(718) 986-2101
Mailing address
7131 66TH ST, GLENDALE, NY 11385-7065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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