Individual
MRS. IRENE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
3114 30TH AVE, ASTORIA, NY 11102-1530
(718) 204-1200
(718) 204-1276
Mailing address
3114 30TH AVE, ASTORIA, NY 11102-1530
(718) 204-1200
(718) 204-1276
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
18213
NY
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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