TERECIE-ANN MAVIS BURGESS

BROOKLYN, NY
NPI1720385446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  014538)
Enumeration Date2011-02-15
Last Update Date2011-02-15
Business Address
Miss TERECIE-ANN MAVIS BURGESS RPA-C
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-6930
Mailing Address
Miss TERECIE-ANN MAVIS BURGESS RPA-C
419 E 92ND ST
BROOKLYN, NY 11212-1135
Phone number: 718-954-5522
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