| 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 |