Individual
AMARIS MINDY BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5790
Mailing address
182 MONTGOMERY ST, GOSHEN, NY 10924-1628
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350597
NY
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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