Individual
BRIDGET BURRUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
52 S UNION RD, SUITE 203, WILLIAMSVILLE, NY 14221-6509
(716) 632-5200
(716) 632-5201
Mailing address
52 S UNION RD, SUITE 203, WILLIAMSVILLE, NY 14221-6509
(716) 632-5200
(716) 632-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021043502
UNIVERA
NY
01
—
000570178004
BCBS
NY
05
—
02345595
—
NY
01
—
061108000004
FIDELIS CARE
NY
01
—
139378BF
PREFERRED CARE
NY
01
—
9512139
INDEPENDENT HEALTH
NY
Enumeration date
07/21/2006
Last updated
04/06/2010
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