Individual
JOHN JAMES BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
26908 INDEPENDENCE WAY, EVANS MILLS, NY 13637-3300
(315) 629-4525
(315) 629-5751
Mailing address
26908 INDEPENDENCE WAY, EVANS MILLS, NY 13637-3300
(315) 629-4525
(315) 629-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05863332
—
NY
Enumeration date
06/15/2016
Last updated
05/06/2024
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