Organization
IRENE A BURNS
Active
Other names
Summit Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE A BURNS (SOLE PROPRIETOR)
(585) 344-2504
Entity
Organization
Contact information
Practice address
229 SUMMIT ST, SUITE 4, BATAVIA, NY 14020-1645
(585) 344-2504
(585) 815-4304
Mailing address
229 SUMMIT ST, SUITE 4, BATAVIA, NY 14020-1645
(585) 344-2504
(585) 815-4304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
149987
NY
208000000X
Pediatrics Physician
256183
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010023201
UNIVERA
—
01
—
00029358101
UNIVERA
—
01
—
000508592001
BC/BS WESTERN NEW YORK
—
01
—
000532478001
BC/BS WESTERN NEW YORK
—
05
—
00706547
—
NY
01
—
0094176
GHI
—
01
—
0220
BC/BS ROCHESTER
—
01
—
03238084
PREFERRED CARE
—
05
—
03238084
—
NY
01
—
1206848
INDEPENDENT HEALTH
—
01
—
1216288
INDEPENDENT HEALTH
—
01
—
MDA130
PREFERRED CARE
—
01
—
P010149987
BLUE CHOICE
—
01
—
P010256183
BLUE CHOICE
—
01
—
P020256183
BC/BS ROCHESTER
—
Enumeration date
04/25/2011
Last updated
04/25/2011
Update your record
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