Individual
AMI BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
(201) 797-0001
Mailing address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06726100
NJ
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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