Dr. John Peter Burghardt JR.
Podiatrist
1013 Old Town Rd
Coram
, New York 11727-1853
Dr. John Peter Burghardt JR.
Podiatrist
1013 Old Town Rd
Coram
, New York 11727-1853
(631) 732-2590
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. John Peter Burghardt JR.
- 1013 Old Town Rd
- Coram, NY
- Zip : 11727-1853
- Fax : (631) 732-2590
- Phone : (631) 732-2590
Second Address
- Dr. John Peter Burghardt JR.
- 1013 Old Town Rd
- Coram, NY
- Zip : 11727-1853
- Fax : (631) 732-2590
- Phone : (631) 732-2590
Reviews
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What type of doctor is Dr. John Peter Burghardt JR.
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Is Dr. John Peter Burghardt JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 002467 | NY |
| Y | 222Z00000X | Podiatrist | 002467 | NY |
National Provider Identifier
| NPI | 1003817024 |
|---|---|
| Provider Name | Dr. John Peter Burghardt JR. |
| First Address | Coram, NY 11727-1853 |
| Second Address | Coram, NY 11727-1853 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 30/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T50768 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.