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Individual
ALISA M BURDISH
Active
Individual
ALISA M BURDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1338638191
NY
252Y00000X
Early Intervention Provider Agency
1339219191
NY
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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