Bertolino, Jack G
Bertolino, Jack G is an individual health care provider with primary practice located at 5320 Military Rd Suite #104, Lewiston NY 14092-2149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bertolino, Jack G can be contacted via phone (716) 297-1153.Contact Information
Primary practice address
5320 Military Rd Suite #104
Lewiston NY 14092-2149
Phone: (716) 297-1153
Fax: (716) 297-5458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 180670 | New York |
Profile Details
| NPI number | 1043271752 |
|---|---|
| LBN Legal business name | Bertolino, Jack G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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