SearchNew York2355S0801X

Dwayne Burnett

NPI 1457615783 · on the registry since 2012 · sole proprietor

Practice

Address
665 Diellen Ln
Elmont, NY 11003
Phone
(516) 561-2288

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York