NPI 1003817024

John Peter Burghardt, DPM

Practitioner Podiatrist Coram, NY

Practice location

Address: 1013 Old Town Rd, Coram, NY 11727-1853
Phone: (631) 732-2590
Fax: (631) 732-2590

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 002467 (NY)

Other Podiatrist providers in New York →

Registry record

NPI: 1003817024
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2005
Record last updated: 30 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.