Individual
DRAKE KINGDON BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
7830 W HIGH STREET EXT, UNION CITY, PA 16438-7630
(814) 392-6081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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