Individual
MARIE BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3818
(631) 968-3698
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3818
(631) 968-3698
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30307012
NY
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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