Provider Demographics
NPI:1811081136
Name:BERLEY, JOSEPH PASCALE (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PASCALE
Last Name:BERLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 BRICKYARD RD
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-7990
Mailing Address - Country:US
Mailing Address - Phone:585-393-5100
Mailing Address - Fax:585-393-5344
Practice Address - Street 1:2651 BRICKYARD RD
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-7990
Practice Address - Country:US
Practice Address - Phone:585-393-5100
Practice Address - Fax:585-393-5344
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1766152083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine