Individual provider · NPI-1

Dr. Peter G Burk, M.D.

Dermatology · Bronx, NY

NPI number1619075389
StatusActive
Last updated in NPPESOct 30, 2019

Details

NPI
1619075389
Entity type
Individual (NPI-1)
Name
Dr. Peter G Burk
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 20, 2006
Last updated
Oct 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology116535NYYes

Practice location

267a W 231st St
Bronx, NY 10463-3903

Phone 718-432-8282

Mailing address

2426 Eastchester Rd Ste 212
Bronx, NY 10469-5950

Phone 718-865-8733

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