Amy Lee Burelson, D.C.
Individual provider Active NPI Chiropractor · East Greenbush, NY
NPI 1154531457 · NPPES record last updated Sep 23, 2013
Key facts
- NPI
- 1154531457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X009854-1 (NY)
- Practice address
- 569 Columbia Tpke
East Greenbush, NY 12061-1601 - Phone
- (518) 477-5000
- Fax
- (518) 477-5009
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Kemp Chiropractic, PC
Practice addresses (Care Compare)
141 Wexford Bayne Rd
Wexford, PA 15090-8748
Phone (724) 940-3900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181112000648 | PA | Practitioner - Chiropractic | 9133158488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009854-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Greenbush Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| East Greenbush Chiropractic PLLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009854-1 | NY | Yes |
Addresses
Primary practice location
569 Columbia Tpke
East Greenbush, NY 12061-1601
Mailing address
569 Columbia Tpke
East Greenbush, NY 12061-1601
Phone (518) 477-5000
Other providers in East Greenbush, NY
- Amber Michelle Bruckner
- Krista Dendor Bryant
- Megan Budwick
- Louie Ann Buhl
- Barbara Bureau
- Kaylea Burns
- Emily Calkins
- Capital District Beginnings
- Kathleen Carmody
- Cynthia Caron Brocks IX
All providers in East Greenbush, NY · Chiropractor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.