Provider Demographics
NPI:1689740532
Name:BURNS, PATRICIA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:BURNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 W 66TH ST
Mailing Address - Street 2:APT 6BE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6305
Mailing Address - Country:US
Mailing Address - Phone:212-787-5020
Mailing Address - Fax:
Practice Address - Street 1:303 W 66TH ST
Practice Address - Street 2:APT 6BE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6305
Practice Address - Country:US
Practice Address - Phone:212-787-5020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239406-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology