Individual
CLAUDINE MARIE BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
63 S COUNTRY RD, BELLPORT, NY 11713-2524
(631) 286-3587
Mailing address
63 S COUNTRY RD, BELLPORT, NY 11713-2524
(631) 286-3587
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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