Bhuiyan, Marie Rose Burgonio
Bhuiyan, Marie Rose Burgonio is an sole proprietor health care provider with primary practice located at 9020 191St St , Hollis NY 11423-2518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bhuiyan, Marie Rose Burgonio can be contacted via phone (718) 721-3523.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F401016-1 | New York |
Profile Details
| NPI number | 1558469601 |
|---|---|
| LBN Legal business name | Bhuiyan, Marie Rose Burgonio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 20th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558469601 | NPPES |
| New York | MEDICAID | 02827085 |
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