Burghardt, Cynthia Lee

Burghardt, Cynthia Lee is an sole proprietor health care provider with primary practice located at 9484 Oswego Rd , Phoenix NY 13135-9508. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Burghardt, Cynthia Lee can be contacted via phone (315) 695-6888.

Contact Information

Primary practice address
9484 Oswego Rd Phoenix NY 13135-9508
Phone: (315) 695-6888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 097263-1 New York

Profile Details

NPI number 1023284106
LBN Legal business name Burghardt, Cynthia Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 16 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 1023284106 NPPES
New York MEDICAID 02053776

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