Individual
MR. MICAH ALEXANDER BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
550 1ST AVE, NEW YORK, NY 10016
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
292160
NY
207L00000X
Anesthesiology Physician
60700293
WA
390200000X
Student in an Organized Health Care Education/Training Program
05988
GA
Other
Enumeration date
07/05/2012
Last updated
03/27/2018
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