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Organization
SAMUEL LOUIS BURGE II
Active
Organization
SAMUEL LOUIS BURGE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE HRISTODOULOU (DIRECTOR)
(585) 385-9030
Entity
Organization
Contact information
Practice address
384 EAST AVE, SUITE B, ROCHESTER, NY 14607-1909
(585) 385-9030
Mailing address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009537
NY
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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