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1649005620
MARK EDWARD BERTSCH
PORT JEFFERSON, NY
NPI
1649005620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 354320)
Enumeration Date
2024-09-07
Last Update Date
2024-09-09
Business Address
Mr. MARK EDWARD BERTSCH FNP
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777-1928
Phone number: 631-474-6000
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Mailing Address
Mr. MARK EDWARD BERTSCH FNP
3 NIAGARA ST
MILLER PLACE, NY 11764-2508
Phone number: 631-356-3241
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