Provider Demographics
NPI:1548246036
Name:BURGER, STEVEN N (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:N
Last Name:BURGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 PELHAM PKWY S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3733
Mailing Address - Country:US
Mailing Address - Phone:718-824-4300
Mailing Address - Fax:
Practice Address - Street 1:1874 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3733
Practice Address - Country:US
Practice Address - Phone:718-824-4300
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153589208600000X
CT042682208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10342OtherMONTEFIORE C.M.O.
NYGS432OtherOXFORD
NYSB068D0120OtherEMPIRE BCBS
NY00949871Medicaid
NY0H0157OtherHEALTHNET / P.H.S.
NY42377OtherAETNA
NY0072043OtherG.H.I.
NY153589OtherH.I.P.
NY0072043OtherG.H.I.
NY00949871Medicaid