Individual
BERNARD P POSSIDENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
112 CHARLTON RD, BALLSTON LAKE, NY 12019-2547
(518) 399-7723
(518) 399-6428
Mailing address
112 CHARLTON RD, BALLSTON LAKE, NY 12019-2547
(518) 399-7723
(518) 399-6428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
311013
NY
Other
Enumeration date
06/13/2018
Last updated
07/28/2021
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