Marie Burkhardt
Nurse Practitioner - Adult Health
301 E Main St
Bay Shore
, New York 11706-8408
Marie Burkhardt
Nurse Practitioner - Adult Health
301 E Main St
Bay Shore
, New York 11706-8408
(631) 968-3698
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Marie Burkhardt
- 301 E Main St
- Bay Shore, NY
- Zip : 11706-8408
- Fax : (631) 968-3698
- Phone : (631) 968-3818
Second Address
- Marie Burkhardt
- 301 E Main St
- Bay Shore, NY
- Zip : 11706-8408
- Fax : (631) 968-3698
- Phone : (631) 968-3818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 30307012 | NY |
National Provider Identifier
| NPI | 1023474384 |
|---|---|
| Provider Name | Marie Burkhardt |
| First Address | Bay Shore, NY 11706-8408 |
| Second Address | Bay Shore, NY 11706-8408 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/01/2016 |
| Last Update Date | 01/01/2016 |
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.