Organization
ROBERT W. BURDICK, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WESLEY BURDICK M.D. (OWNER/PHYSICIAN)
(315) 363-0550
Entity
Organization
Contact information
Practice address
803 SHERRILL RD, SHERRILL, NY 13461-1455
(315) 363-0550
(315) 363-0787
Mailing address
803 SHERRILL RD, SHERRILL, NY 13461-1455
(315) 363-0550
(315) 363-0787
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
151895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997700
—
NY
Enumeration date
09/18/2007
Last updated
12/10/2007
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