Burock Stotts, Anita K

Burock Stotts, Anita K is an sole proprietor health care provider with primary practice located at 100 Anthony Way , Schenectady NY 12303-3512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Burock Stotts, Anita K can be contacted via phone (518) 355-2060.

Contact Information

Primary practice address
100 Anthony Way Schenectady NY 12303-3512
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 165459 New York

Profile Details

NPI number 1053378539
LBN Legal business name Burock Stotts, Anita K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Jul 7th, 2010 - 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 1053378539 NPPES
New York Other 000000093422 GHI-HMO
New York Other 000411069004 GHI-HMO
New York Other 11268278 GHI-HMO
New York Other 165459-9W GHI-HMO
New York Other 5895325 GHI-HMO
New York Other 391448 GHI-HMO
New York Other DB1987 GHI-HMO
New York Other 10000243 GHI-HMO
New York Other 108AR1 GHI-HMO
New York Other 040426006836 GHI-HMO
New York Other 9720880 GHI-HMO

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