Individual
JOSEPH BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST PH 15, NEW YORK, NY 10032-3720
(212) 305-5697
Mailing address
875 W 181ST ST APT 4M, NEW YORK, NY 10033-4488
(917) 565-5906
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
313974-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
04/27/2022
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