Burghardt, Beth Michelle

Burghardt, Beth Michelle is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 4L, Liverpool NY 13088-3807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Burghardt, Beth Michelle can be contacted via phone (315) 452-2124.

Contact Information

Primary practice address
5100 W Taft Rd Suite 4L Liverpool NY 13088-3807
Phone: (315) 452-2124
Fax: (315) 452-2128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 185289 New York

Profile Details

NPI number 1568434454
LBN Legal business name Burghardt, Beth Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568434454 NPPES
New York Other 61719913 NYS PIN
New York MEDICAID 01413107 NYS PIN

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