Individual provider · NPI-1

Jessica Berman, MD

Family Medicine · Albany, NY

NPI number1669433496
StatusActive
Last updated in NPPESFeb 5, 2020

Details

NPI
1669433496
Entity type
Individual (NPI-1)
Name
Jessica Berman
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2006
Certification date
Feb 5, 2020
Last updated
Feb 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine226578NYYes

Practice location

501 New Karner Rd
Albany, NY 12205-3874

Phone 518-393-0391 · Fax 518-372-3281

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461

Phone 518-782-3700 · Fax 518-782-3799

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