| Hermon Family Health Care | |
|
105 Main St Hermon NY 13652-3100 | |
| (315) 347-2191 | |
| Not Available |
| Full Name | Hermon Family Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Main St, Hermon, New York |
| Authorized Official Name and Position | Gary R Berk (M.D.) |
| Authorized Official Contact | 3153472191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermon Family Health Care 1111 Patterson St Ogdensburg NY 13669-3840 Ph: (315) 393-9113 | Hermon Family Health Care 105 Main St Hermon NY 13652-3100 Ph: (315) 347-2191 |
| NPI Number | 1811057367 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811057367 | NPI | - | NPPES |
| 00986576 | Medicaid | NY | |
| 1417059718 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 158982-1 (New York) | Primary |