Burdish, Alisa M

Burdish, Alisa M is an sole proprietor health care provider with primary practice located at 229 Laurel Rd , E Northport NY 11731-1118. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Burdish, Alisa M can be contacted via phone (631) 659-3337.

Contact Information

Primary practice address
229 Laurel Rd E Northport NY 11731-1118
Phone: (631) 659-3337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 1339219191 New York
Agencies / Early Intervention Provider Agency 252Y00000X 1338638191 New York

Profile Details

NPI number 1073160412
LBN Legal business name Burdish, Alisa M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2019
Last updated Aug 21st, 2019 - about 6 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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