Individual
JACQUELINE DEBRA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
3 CORPORATE DR, PEEKSKILL, NY 10566-1810
(914) 257-3500
Mailing address
52 COLLEGE AVE APT 1B, SLEEPY HOLLOW, NY 10591-2740
(914) 839-7004
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5635
NY
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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