Individual
CHEVERN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1184 E 86TH ST, BROOKLYN, NY 11236-4737
(347) 672-4485
Mailing address
1184 E 86TH ST, BROOKLYN, NY 11236-4737
(347) 672-4485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015391
NY
Other
Enumeration date
01/04/2012
Last updated
06/11/2012
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