Individual provider · Type 1 NPI

Jeffery Dawayne Burgess

Student in an Organized Health Care Education/Training Program · Hawthorne, NY

NPI number 1285035568 Active

Practice location

500 Linda Ave
Hawthorne, NY 10532-1313

Call (914) 564-6825 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285035568

Jeffery Dawayne Burgess's National Provider Identifier is 1285035568, issued on Sep 5, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hawthorne, NY. The record was last updated on Sep 5, 2014.