Burr, Diane Lynne

Burr, Diane Lynne is an individual health care provider with primary practice located at 801 Cypress St , Rome NY 13440-2129. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Burr, Diane Lynne can be contacted via phone (315) 339-6536.

Contact Information

Primary practice address
801 Cypress St Rome NY 13440-2129
Fax: (315) 339-1746
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 014461 New York

Profile Details

NPI number 1285836122
LBN Legal business name Burr, Diane Lynne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Sep 18th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285836122 NPPES
New York MEDICAID 00474180

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