Individual
MS. BARBARA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1182 TROY SCHENECTADY RD, SUITE LL02, LATHAM, NY 12110-1026
(518) 220-9705
(518) 220-9651
Mailing address
1182 TROY SCHENECTADY RD, SUITE LL02, LATHAM, NY 12110-1026
(518) 220-9705
(518) 220-9651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0094311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004902130008
BLUE SHIELD
—
05
—
01940743
—
NY
01
—
433960
MVP
—
01
—
QA3083
BLUE CROSS
—
Enumeration date
03/18/2006
Last updated
02/14/2008
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