| Organization Name: | ROBERT W. BURDICK, M.D. |
| NPI Number: | 1952597650 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT WESLEY BURDICK (OWNER/PHYSICIAN) |
| Mailing Address: | 803 Sherrill Rd Sherrill |
| State: | NY US |
| Postal Code: | 134611455 |
| Phone Number: | 3153630550 |
| Fax Number: | 3153630787 |
| NPI Enumeration Date: | 09/18/2007 |
| NPI Last Update Date: | 12/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 151895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |