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NPI Code Detail

MEDICARE: ILANA C BERTI PA-C

MEDICARE: ILANA C BERTI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant1171499MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11171499OTHERMANCCPA

General Provider Information

NPI Number : 1699309104
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILANA C BERTI PA-C
Provider Business Mailing Address
First Line : 47 AUTUMN RDG
Second Line :
City : EAST LONGMEADOW
State : MA
Zip : 01028-3140
Country : US
Telephone Number : 413-427-6426
Fax Number :
Provider Business Practice Location Address
First Line : 24 PARK ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-0900
Country : US
Telephone Number : 413-499-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 01/08/2026

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Directions to “ ILANA C BERTI PA-C” Practice Location

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