Alisa M Burdish
NPI #1073160412 in E Northport, New York
Provider Information
- NPI Number
- 1073160412
- Entity Type
- Individual
- Name
- Alisa M Burdish
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 21, 2019
- Last Updated
- Aug 21, 2019
Practice Location
- Address
- 229 LAUREL RD
- City
- E Northport
- State
- New York
- ZIP Code
- 11731-1118
- Phone
- (631) 659-3337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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