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Individual

ROBERT WESLEY BURDICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
803 SHERRILL RD, SHERRILL, NY 13461-1455
(315) 363-0550
(315) 363-0787
Mailing address
803 SHERRILL RD, SHERRILL, NY 13461-1455
(315) 363-0550
(315) 363-0787

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1518951
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00997700
NY
Enumeration date
09/14/2006
Last updated
05/14/2008
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