Daisy C. Burgos, P.T.
Individual provider Active NPI Specialist · Maspeth, NY
NPI 1982792008 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1982792008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 026429-1 (NY)
- Practice address
- 6035 Fresh Pond Rd
Maspeth, NY 11378-3541 - Phone
- (718) 628-5326
- Fax
- (718) 628-3719
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 026429-1 | NY | Yes |
Addresses
Primary practice location
6035 Fresh Pond Rd
Maspeth, NY 11378-3541
Mailing address
8824 219TH St
Queens Village, NY 11427-2017
Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.