Burdick, Jeffrey Jean

Burdick, Jeffrey Jean is an individual health care provider with primary practice located at 400 Patroon Creek Blvd Suite 210, Albany NY 12206-5012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Burdick, Jeffrey Jean can be contacted via phone (518) 459-8106.

Contact Information

Primary practice address
400 Patroon Creek Blvd Suite 210 Albany NY 12206-5012
Fax: (518) 489-6441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 168614 New York

Profile Details

NPI number 1356300412
LBN Legal business name Burdick, Jeffrey Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Nov 6th, 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 1356300412 NPPES
New York MEDICAID 01128385

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