Burris-Warmoth, Patricia R.

Burris-Warmoth, Patricia R. is an individual health care provider with primary practice located at 80 Marcus Dr Provider Enrollment, Melville NY 11747-4230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Burris-Warmoth, Patricia R. can be contacted via phone (631) 391-7889.

Contact Information

Primary practice address
80 Marcus Dr Provider Enrollment Melville NY 11747-4230
Phone: (631) 391-7889
Fax: (631) 454-4163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 198810 New York

Profile Details

NPI number 1194898676
LBN Legal business name Burris-Warmoth, Patricia R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 21st, 2014 - about 11 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 1194898676 NPPES
New York MEDICAID 01777462
New York Other NYS LICENSE

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