Organization
BRONX PSYCHIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BURGESS M.D. (PRESIDENT)
(718) 960-6159
Entity
Organization
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6159
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6159
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
127526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02737671
—
NY
Enumeration date
04/02/2007
Last updated
09/24/2012
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