NPI 1053403584

Steven H Burg, RPAC

Practitioner Surgical Physician Assistant West Islip, NY

Practice location

Address: 800 Montauk Hwy, West Islip, NY 11795-4919
Phone: (631) 893-3903
Fax: (631) 893-3904

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 23005581 (NY)

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Registry record

NPI: 1053403584
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2006
Record last updated: 8 Jul 2007

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.