Burd, Marc Allen
Burd, Marc Allen is an sole proprietor health care provider with primary practice located at 130-22 Rockaway Blvd , South Ozone Park NY 11420. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Burd, Marc Allen can be contacted via phone (917) 744-5006.Contact Information
Primary practice address
130-22 Rockaway Blvd
South Ozone Park NY 11420
Phone: (917) 744-5006
Fax: (718) 868-3166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 014832 | New York |
Profile Details
| NPI number | 1528020526 |
|---|---|
| LBN Legal business name | Burd, Marc Allen |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Aug 5th, 2021 - about 3 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 | 1528020526 | NPPES |
| New York | MEDICAID | 02637209 |
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