Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack G Bertolino, MD

Individual provider Family Medicine Physician · NPI 1043271752

Dr. Jack G Bertolino, MD is a Family Medicine Physician in Lewiston, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5320 Military Rd Ste #104
Lewiston, NY 14092-2149
Phone: (716) 297-1153
Fax: (716) 297-5458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 180670 (NY)

Record details

NPI number1043271752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESJuly 8, 2007

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