Provider Information for 1528127339
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ONEIDA BURGOS LCSW
Other Names:Other Name:Mrs. ONEIDA BROWN LCSWSex: Female
NPI: 1528127339
Last Updated: 2022-08-01
Certification Date: 2022-08-01
Certification Date: 2022-08-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528127339 | ||||||||
| Enumeration Date | 2006-12-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1065 SOUTHERN BLVD BRONX, NY 10459-2417 United States Phone: 718-589-2440 | Fax: | ||||||||
| Primary Practice Address | 1065 SOUTHERN BLVD BRONX, NY 10459-2417 United States Phone: 718-589-2440 | Fax:917-463-3208 | ||||||||
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