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Individual

DR. CHRISTINA MAUREEN BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-2000
(716) 323-0292
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0034
(716) 323-0292

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
212862
NY
208000000X
Pediatrics Physician
212862-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026226801
UNIVERA
01
000526982001
BC/BS
01
000526982002
BC/BS
05
0019172900001
PA
05
02330069
NY
01
040426003003
FIDELIS
01
080130000088
FIDELIS
01
1211504
IHA
Enumeration date
10/12/2006
Last updated
02/21/2023
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