Individual
DR. JAVIER P BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4373 UNION ST, SUITE CB, FLUSHING, NY 11355-3045
(718) 886-3877
(718) 886-3995
Mailing address
6200 BEACH CHANNEL DR, ARVERNE, NY 11692-1409
(718) 945-7150
(718) 945-2596
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
234448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03333337
—
NY
Enumeration date
08/17/2007
Last updated
07/23/2015
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