Individual
MARIE ROSE BURGONIO BHUIYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9020 191ST ST, HOLLIS, NY 11423-2518
(718) 721-3523
Mailing address
301 COVERT AVE, NEW HYDE PARK, NY 11040-5436
(516) 352-3771
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401016-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02827085
—
NY
Enumeration date
09/20/2006
Last updated
02/20/2012
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