Burgos, Marvin Alexander

Burgos, Marvin Alexander is an sole proprietor health care provider with primary practice located at 1654 Parker St Apt 1C , Bronx NY 10462-4978. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Burgos, Marvin Alexander can be contacted via phone (914) 426-7952.

Contact Information

Primary practice address
1654 Parker St Apt 1C Bronx NY 10462-4978
Phone: (914) 426-7952
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 246ZC0007X New York
Nursing Service Providers / Registered Nurse 163W00000X 909992 New York

Profile Details

NPI number 1154865269
LBN Legal business name Burgos, Marvin Alexander
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2016
Last updated Jun 10th, 2024 - about last year

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 1154865269 NPPES
New York Other FV47428W FIDELISCARE
New York Other W284879900 FIDELISCARE

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