Individual
JONATHAN RYAN BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-2575
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
292897
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
292897
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2015
Last updated
06/28/2023
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