Individual
SAMUEL LOUIS BURGE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
384 EAST AVE STE B, ROCHESTER, NY 14607-1909
(585) 720-9608
Mailing address
384 EAST AVE STE B, ROCHESTER, NY 14607-1909
(585) 720-9608
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
009537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121937FR
PREFERRED CARE
NY
Enumeration date
03/12/2007
Last updated
12/10/2007
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