National Provider Identifier

Bruce Berry Jr., LPN

Bruce Berry Jr., LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.

NPI 1538298633Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1538298633
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 05, 2007
Last Updated
July 08, 2007

Practice Location

  • 1680 Walden Ave
  • Cheektowaga, NY 14225-4914

Phone: (716) 894-7777

Mailing Address

  • 3058 W Oak Hill RD
  • Jamestown, NY 14701-9041

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1538298633
Entity Type
Individual
Last Name
Berry
First Name
Bruce
Name Suffix
Jr.
Credential
LPN
Mailing Street Address
3058 W Oak Hill RD
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-9041
Mailing Country
US
Mailing Phone
(716) 665-2652
Practice Street Address
1680 Walden Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4914
Practice Country
US
Practice Phone
(716) 894-7777
Enumeration Date
March 05, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)