Individual
VILMA BURGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CORPORATE BLVD, NEWBURGH, NY 12550-6416
(845) 561-3655
Mailing address
3 WILLELLA PL, NEWBURGH, NY 12550-2839
(845) 565-0290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13063700
NJ
163WH0200X
Home Health Registered Nurse
Primary
379925
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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