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
Phone: (845) 231-5600
Fax: (845) 231-5489
Website:
Health care specialties
Specialty | Code | License # | 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 9 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 | 1720199193 | NPPES |
New York | MEDICAID | 02792643 |
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