Burgess, Robert Justin
Burgess, Robert Justin is an individual health care provider with primary practice located at 1111 Amsterdam Ave. , New York NY 10025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiological Physics, which is considered as his primary health care specialty. Burgess, Robert Justin can be contacted via phone (212) 523-4699.Contact Information
Primary practice address
1111 Amsterdam Ave.
New York NY 10025
Phone: (212) 523-4699
Fax: (212) 523-5379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiological Physics | 2085R0205X | 178614 | New York |
Profile Details
| NPI number | 1225069867 |
|---|---|
| LBN Legal business name | Burgess, Robert Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1225069867 | NPPES |
| New York | MEDICAID | 01424648 |
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