| Doctor Name: | MS. BRANDEE LEE BURLEY |
| NPI Number: | 1184037244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 441 Penbrooke Dr Suite 7 Penfield, NY - 145262046 |
| Business Phone Number: | 5853859775 |
| Business Fax Number: | 5853855591 |
| Mailing Address: | 441 Penbrooke Dr, Suite 7 PENFIELD |
| State: | NY |
| Postal Code: | 145262046 |
| Phone Number: | 5853859775 |
| Fax Number: | 5853855591 |
| NPI Enumeration Date: | 06/06/2014 |
| NPI Last Update Date: | 09/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |