Individual
MS. ANNETTE DIANE BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
500 W ONONDAGA ST, SYRACUSE, NY 13204-3225
(315) 396-2535
Mailing address
500 W ONONDAGA ST, SYRACUSE, NY 13204-3225
(315) 396-2535
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004852-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20124007914
NEW YORK CENTRAL
NY
01
—
3021802
HMO BLUE BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/10/2012
Last updated
09/26/2012
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