Individual
MS. SUSAN BETH BURMESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
20651
CA
363A00000X
Physician Assistant
PA20651
CA
363AM0700X
Medical Physician Assistant
Primary
018511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0078350
MEDICAL
CA
Enumeration date
12/07/2009
Last updated
06/09/2015
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