Traci Burgess is a Specialist in Brooklyn, New York. Traci Burgess practices all healthcare services and medical treatments related to Specialist. The NPI Number for Traci Burgess is 1508863424. The last update date is 2008-01-30.
Traci Burgess's current location address is 5014 Fort Hamilton Pkwy, Brooklyn, New York. You can contact this provider via phone number 7182837979 and fax number 7186358977. The mailing address for Traci Burgess is 5014 Fort Hamilton Pkwy, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Burgess |
|---|---|
| Address | 5014 Fort Hamilton Pkwy, Brooklyn, New York |
| Phone Number | 7182837979 |
| Fax Number | 7186358977 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508863424 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
| Address | 5014 Fort Hamilton Pkwy |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 1121933240 |
| Phone Number | 7182837979 |
| Fax Number | 7186358977 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 194808-1 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1589913 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Traci Burgess by the Centers for Medicare & Medicaid Services?
The Traci Burgess has been assigned the NPI (National Provider Identifier) 1508863424. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Traci Burgess's physical address?
The Traci Burgess is physically located at 5014 Fort Hamilton Pkwy, in the city of Brooklyn, NY, with the postal code 1121933240.
What is Traci Burgess's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Traci Burgess is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508863424 to Traci Burgess?
The Centers for Medicare & Medicaid Services assigned the 1508863424 to Traci Burgess on 2005-07-07.
When was the information pertaining to Traci Burgess most recently updated or revised?
The details related to Traci Burgess, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-30.