Individual provider · NPI-1
Marvin Alexander Burgos, RN
Registered Nurse · Bronx, NY
NPI number1154865269
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1154865269
- Entity type
- Individual (NPI-1)
- Name
- Marvin Alexander Burgos
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2016
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 909992 | NY | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | NY |
Practice location
1654 Parker St Apt 1cBronx, NY 10462-4978
Phone 914-426-7952
Mailing address
1654 Parker St Apt 1cBronx, NY 10462-4978
Phone 914-426-7952
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