| Organization Name: | BERKSHIRE FAMILY MEDICINE PLLC |
| NPI Number: | 1548435266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARLENE M KINNEY (SOLE MEMBER) |
| Mailing Address: | 12594 State Route 38 Berkshire |
| State: | NY US |
| Postal Code: | 137361907 |
| Phone Number: | 6076578528 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 12/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 212187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |