National Provider Identifier
Alexis Bertola
Alexis Bertola is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-2230.
Profile Overview
- NPI
- 1417340316
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- March 17, 2015
- Last Updated
- January 30, 2020
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1417340316
- Entity Type
- Individual
- Last Name
- Bertola
- First Name
- Alexis
- Mailing Street Address
- 149 N Main St
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1434
- Mailing Country
- US
- Practice Street Address
- 149 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1434
- Practice Country
- US
- Practice Phone
- (585) 377-2230
- Enumeration Date
- March 17, 2015
- Last Updated
- January 30, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 17 (Special Educator)