Burnett, Matthew J

Burnett, Matthew J is an individual health care provider with primary practice located at 6620 Fly Road Ste 200, East Syracuse NY 13057. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Burnett, Matthew J can be contacted via phone (315) 464-4472.

Contact Information

Primary practice address
6620 Fly Road Ste 200 East Syracuse NY 13057
Phone: (315) 464-4472
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009606 New York

Profile Details

NPI number 1467457440
LBN Legal business name Burnett, Matthew J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 30th, 2009 - about 15 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 1467457440 NPPES
New York MEDICAID 02720189

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