Individual
BURGUNDI LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
107 WARTBURG AVE APT 68, COPIAGUE, NY 11726-2939
(516) 410-2025
Mailing address
107 WARTBURG AVE APT 68, COPIAGUE, NY 11726-2939
(516) 410-2025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300936
NY
Other
Enumeration date
12/29/2010
Last updated
07/25/2011
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