Organization
BURGUNDY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALCIBIADES J. RODRIGUEZ MD (OWNER)
(646) 558-0800
Entity
Organization
Contact information
Practice address
8304 5TH AVE, BROOKLYN, NY 11209-4566
(347) 492-0353
(347) 492-0203
Mailing address
8304 5TH AVE, BROOKLYN, NY 11209-4566
(347) 492-0353
(347) 492-0203
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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