Individual
GEORGE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 W SPRING ST, WILLIAMSVILLE, NY 14221-5438
(716) 565-3605
(716) 565-3609
Mailing address
11 W SPRING ST, WILLIAMSVILLE, NY 14221-5438
(716) 565-3605
(716) 565-3609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
117348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000507008003
BLUE CROSS WNY
NY
05
—
00823143
—
NY
01
—
0409316
INDEPENDENT HEALTH
NY
Enumeration date
12/19/2005
Last updated
11/14/2011
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