National Provider Identifier
Jack G Bertolino, MD
Jack G Bertolino, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lewiston, NY and a listed phone number of (716) 297-1153.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1043271752
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 5320 Military RD
- Suite #104
- Lewiston, NY 14092-2149
Phone: (716) 297-1153
Specialties
- Family Medicine Physician (207Q00000X)
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Biography
Dr. Jack G. Bertolino is a family medicine physician in Lewiston, New York. His public professional profile shows medical training at the Universidad Autonoma de Guadalajara, followed by a transitional internship at Cleveland Clinic Foundation, a family medicine residency at University of Maryland Capital Region Health, and a geriatrics fellowship at the University at Buffalo.
That background suggests a practice grounded in primary care with additional training related to the care of older adults. His NPI record lists his Lewiston office on Military Road, where he has long been registered in family medicine.
Full Record
- NPI
- 1043271752
- Entity Type
- Individual
- Last Name
- Bertolino
- First Name
- Jack
- Middle Name
- G
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 5320 Military RD
- Mailing Address Line 2
- Suite #104
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-2149
- Mailing Country
- US
- Mailing Phone
- (716) 297-1153
- Mailing Fax
- (716) 297-5458
- Practice Street Address
- 5320 Military RD
- Practice Address Line 2
- Suite #104
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-2149
- Practice Country
- US
- Practice Phone
- (716) 297-1153
- Practice Fax
- (716) 297-5458
- Enumeration Date
- March 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)