Burroughs, Bryan

Burroughs, Bryan is an sole proprietor health care provider with primary practice located at 1200A Scottsville Rd Ste 39 , Rochester NY 14624-5703. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Burroughs, Bryan can be contacted via phone (585) 319-0785.

Contact Information

Primary practice address
1200A Scottsville Rd Ste 39 Rochester NY 14624-5703
Phone: (585) 319-0785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F4022251 New York

Profile Details

NPI number 1457784647
LBN Legal business name Burroughs, Bryan
Credentials NURSE PRACTIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2013
Last updated Apr 8th, 2025 - about last year

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 1457784647 NPPES
New York MEDICAID 1161

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