Individual
CARRIE ELIZABETH BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
250 W 138TH ST APT 3, NEW YORK, NY 10030-2158
(517) 449-9497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
779550
NY
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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