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
Phone: (518) 459-8106
Fax: (518) 489-6441
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356300412 | NPPES |
New York | MEDICAID | 01128385 |
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