Alexis Bertola is a Specialist based in Fairport, NY. Alexis Bertola practices in Fairport, NY. The NPI Number for Alexis Bertola is 1417340316 and holds a License No. (New York).
The current practice location address for Alexis Bertola is 149 N Main St, Fairport, NY and can be reached out via phone at 585-377-2230.
Location: 149 N Main St, Fairport, NY, 14450-1434
Provider Profile Details
NPI Number
1417340316
Provider Name
Alexis Bertola
Credential
Provider Entity Type
Individual
Gender
Female
Address
149 N Main St, Fairport, NY, 14450-1434
Phone Number
585-377-2230
Fax Number
Provider Enumeration Date
03/17/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17 | 01 | SPECIAL EDUCATOR |
Provider Business Practice Location Address Details
Address
149 N Main St
City
State
Zip
14450-1434
Phone Number
585-377-2230
Fax Number
Provider Business Mailing Address Details
Address
149 N Main St
City
State
Zip
14450-1434
Phone Number
585-377-2230
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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