Individual
MR. NOAH BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1842 WESTERVELT AVE, NORTH BALDWIN, NY 11510-2228
(646) 359-7911
Mailing address
1842 WESTERVELT AVE, BALDWIN, NY 11510
(646) 359-7911
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
337436234
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12334354
—
NY
Enumeration date
04/16/2014
Last updated
04/16/2014
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