Individual
BREANNA LYNN BURGENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20823 NYS RT 3, WATERTOWN, NY 13601-5577
(315) 788-1570
Mailing address
20823 NYS RT 3, WATERTOWN, NY 13601-5577
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
8463-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207069530
—
NY
Enumeration date
12/30/2017
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us