Individual
MR. BURDETTE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 BILLS DR, ORCHARD PARK, NY 14127-2237
(716) 312-8526
(716) 312-8981
Mailing address
1 BILLS DR, ORCHARD PARK, NY 14127-2237
(716) 312-8526
(716) 312-8981
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000144-1
NY
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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