Burack, Michelle A

Burack, Michelle A is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Burack, Michelle A can be contacted via phone (585) 273-1143.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Phone: (585) 273-1143
Fax: (585) 242-9164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2005030558 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 246546 New York

Profile Details

NPI number 1639185390
LBN Legal business name Burack, Michelle A
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639185390 NPPES
New York MEDICAID 02956449

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