Individual
MR. GARY LEE BURGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 NYE ROAD, WAYNE BEHAVIORAL HEALTH NETWORK, LYONS, NY 14489
(315) 946-5722
(315) 946-7066
Mailing address
364 MURRAY ST, NEWARK, NY 14513
(315) 331-9763
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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