Burnham, Leisl M

Burnham, Leisl M is an individual health care provider with primary practice located at 747 Madison Ave Suite 1, Albany NY 12208-3392. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Burnham, Leisl M can be contacted via phone (518) 443-2279.

Contact Information

Primary practice address
747 Madison Ave Suite 1 Albany NY 12208-3392
Phone: (518) 443-2279
Fax: (518) 443-7246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 020426 New York

Profile Details

NPI number 1285636878
LBN Legal business name Burnham, Leisl M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Sep 14th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285636878 NPPES
New York Other 10098799 CDPHP
New York Other 843419 CDPHP
New York Other 000415488001 CDPHP

Popular Providers