Burgess, Katie Anne

Burgess, Katie Anne is an individual health care provider with primary practice located at 664 Stoneleigh Ave , Carmel NY 10512-3940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Burgess, Katie Anne can be contacted via phone (845) 231-5600.

Contact Information

Primary practice address
664 Stoneleigh Ave Carmel NY 10512-3940
Fax: (845) 231-5489
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 232928-1 New York

Profile Details

NPI number 1720199193
LBN Legal business name Burgess, Katie Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 15th, 2016 - about 8 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 1720199193 NPPES
New York MEDICAID 02792643

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