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NPI Code Detail

MEDICARE: DR. DMITRIY K. BURMAN M.D.

MEDICARE:  DR. DMITRIY K. BURMAN  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
1208000000XPediatrics PhysicianMD070833LPA
2208000000XPediatrics Physician218036NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275531568
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DMITRIY K. BURMAN M.D.
Provider Business Mailing Address
First Line : 2516 E 28TH ST
Second Line : FL 1
City : BROOKLYN
State : NY
Zip : 11235-2019
Country : US
Telephone Number : 905-553-8553
Fax Number : 905-553-8558
Provider Business Practice Location Address
First Line : 2516 E 28TH ST
Second Line : FL 1
City : BROOKLYN
State : NY
Zip : 11235-2019
Country : US
Telephone Number : 905-553-8553
Fax Number : 905-553-8558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 04/01/2016

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