Individual
DR. ERVIN BURROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
162 E BROADWAY, MONTICELLO, NY 12701-8815
(845) 796-1350
Mailing address
PO BOX 137, NEW HAMPTON, NY 10958-0137
(845) 374-8163
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009712-1
NY
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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