Burczeuski, Tara H
Burczeuski, Tara H is an individual health care provider with primary practice located at 133 Aviation Rd , Queensbury NY 12804-8206. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burczeuski, Tara H can be contacted via phone (518) 798-0170.Contact Information
Primary practice address
133 Aviation Rd
Queensbury NY 12804-8206
Phone: (518) 798-0170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 011232-1 | New York |
Profile Details
| NPI number | 1790885077 |
|---|---|
| LBN Legal business name | Burczeuski, Tara H |
| Credentials | MS ED, CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1790885077 | NPPES |
| New York | MEDICAID | 00752456 |
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