Individual provider · NPI-1

Maria C. Berry, FNP

Nurse Practitioner, Family · Binghamton, NY

NPI number1508106147

StatusActive

Last updated in NPPESMar 18, 2021

Details

NPI: 1508106147
Entity type: Individual (NPI-1)
Name: Maria C. Berry
Credential: FNP
Sex: Female
Sole proprietor: Yes
Enumeration date: Feb 19, 2013
Certification date: Mar 18, 2021
Last updated: Mar 18, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	337710	NY	Yes

Practice location

169 Riverside Drive
Lourdes Hosptial
Binghamton, NY 13905-4198

Phone 607-798-5231

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739

Phone 856-686-4317 · Fax 856-848-8536

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