Doctor Name: | STEVEN H BURG |
NPI Number: | 1053403584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPA-C |
License Number: | 23005581 |
Business Practice Address: | 800 Montauk Hwy West Islip, NY - 117954919 |
Business Phone Number: | 6318933903 |
Business Fax Number: | 6318933904 |
Mailing Address: | 800 Montauk Hwy, WEST ISLIP |
State: | NY |
Postal Code: | 117954919 |
Phone Number: | 6318933903 |
Fax Number: | 6318933904 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 23005581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |