Individual
ASHLEY BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 6TH AVE, WATERVLIET, NY 12189-2025
(518) 727-2394
Mailing address
2306 6TH AVE, WATERVLIET, NY 12189-2025
(518) 727-2394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300136-1
NY
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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