Individual
MR. ANTONIO WALTER BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
80 FIFTH AVENUE, SUITE 1406, NEW YORK, NY 10011
(212) 463-7740
Mailing address
65 PARK TERRACE EAST, C79, NEW YORK, NY 10034
(212) 463-7740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0087331
NY
103T00000X
Psychologist
SI02114
NJ
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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