Individual
MICHELLE A BURACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 273-1143
(585) 242-9164
Mailing address
PO BOX 278984, ROCHESTER, NY 14627-8984
(585) 273-1143
(585) 242-9164
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2005030558
MO
2084N0400X
Neurology Physician
Primary
246546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02956449
—
NY
Enumeration date
08/01/2006
Last updated
02/29/2012
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