MEDICARE: DR. NAGHMA BURNEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	002015	NY
2	207R00000X	Internal Medicine Physician	250957	NY

General Provider Information

NPI Number	:	1093880361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAGHMA BURNEY M.D.

Provider Business Mailing Address
First Line	:	116 FIG DR
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-5657
Country	:	US
Telephone Number	:	212-281-5252
Fax Number	:	212-690-3662

Provider Business Practice Location Address
First Line	:	33 W 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-4512
Country	:	US
Telephone Number	:	212-289-5795
Fax Number	:	212-410-4424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	04/04/2014

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