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NPI Code Detail

MEDICARE: DR. SARI JACLYN BURNS MD

MEDICARE: DR. SARI JACLYN BURNS MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
22084P0800XPsychiatry Physician267273NY

General Provider Information

NPI Number : 1730313149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARI JACLYN BURNS MD
Provider Business Mailing Address
First Line : 16 W 16TH ST
Second Line : APT 4TN
City : NEW YORK
State : NY
Zip : 10011-6328
Country : US
Telephone Number : 845-461-4719
Fax Number :
Provider Business Practice Location Address
First Line : 16 W 16TH ST
Second Line : APT 4TN
City : NEW YORK
State : NY
Zip : 10011-6328
Country : US
Telephone Number : 845-461-4719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2009
Last Update Date : 07/16/2014

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