Individual
MR. DAVID M BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3375 PARK AVE, WANTAGH, NY 11793-3733
(516) 781-1911
(516) 781-1173
Mailing address
3375 PARK AVE, WANTAGH, NY 11793-3733
(516) 781-1911
(516) 781-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070074-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03003069
—
NY
Enumeration date
06/22/2010
Last updated
06/22/2010
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