Most Relevant Information
Provider Data
NPI Number: | 1003303504 |
Provider Name: | CHRISTOPHER BERTELY MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/19/2018 |
Last Updated: | 05/19/2022 |
Provider Practice Location
234 E 149TH ST
BRONX
NY
104515504
Practice Location Phone/Fax
Phone: | 7185795016 |
Fax: |
Provider Mailing Location
319 E 105TH ST APT 6B
NEW YORK
NY
100295050
Provider Mailing Phone/Fax
Phone: | 5164559362 |
Fax: |