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Individual
MARY ALAINA ROSE BURBAGE
Active
Individual
MARY ALAINA ROSE BURBAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643704
NY
363LF0000X
Family Nurse Practitioner
Primary
340348
NY
Other
Enumeration date
10/09/2015
Last updated
11/14/2019
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