Individual
DR. EUGENE BURBACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 WEST 6TH STREET, BROOKLYN, NY 11223
(718) 339-8856
(718) 339-8740
Mailing address
1601 WEST 6TH STREET, BROOKLYN, NY 11223
(718) 339-8856
(718) 339-8740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223147
—
NY
01
—
1811103450
NPI GROUP PROVIDER
NY
Enumeration date
10/18/2006
Last updated
08/25/2012
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