Burgess, Mark R

Burgess, Mark R is an individual health care provider with primary practice located at 5130 E Main Street Rd Suite 2, Batavia NY 14020-3496. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Burgess, Mark R can be contacted via phone (585) 344-1421.

Contact Information

Primary practice address
5130 E Main Street Rd Suite 2 Batavia NY 14020-3496
Phone: (585) 344-1421
Fax: (585) 345-3080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 075758-1 New York

Profile Details

NPI number 1679865554
LBN Legal business name Burgess, Mark R
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2011
Last updated May 10th, 2011 - about 13 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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