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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK G BERTOLINO, MD

Active

DR. JACK G BERTOLINO, MD is a Family Medicine healthcare provider located in LEWISTON, New York. NPI 1043271752 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LEWISTON, NY

Registration Details

NPI Number
1043271752
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2006 (20.22862764876 yrs)
Last Updated
Jul 8, 2007
License
180670 (NY)

Practice Information

Address
5320 MILITARY RD
SUITE #104
LEWISTON, NY, 140922149
Browse NY providers · Browse ZIP 14092
Phone
7162971153
Fax
7162975458
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LEWISTON, NY

Name Credential NPI
DR. ROBERT L BULL JR. MD 1568467876
MRS. BRENDA LEE PEREZ MD/MBA 1902864234
DR. DEBRA M OMIATEK MD 1346273885
DR. MICHAEL JOSEPH RAGUSA M.D. 1922334523
DR. STEPHEN A MURAK MD 1851685572
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.