Individual
MR. BRIAN MICHAEL BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
4904 19TH AVE, ASTORIA, NY 11105-1002
(781) 640-7547
Mailing address
422 W 22ND ST, APARTMENT 8, NEW YORK, NY 10011-2530
(781) 640-7547
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
629706
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401641
NY
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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