Provider Demographics
NPI:1205262870
Name:BURZENSKI, DEANA P
Entity type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:P
Last Name:BURZENSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3137
Mailing Address - Country:US
Mailing Address - Phone:516-987-5033
Mailing Address - Fax:
Practice Address - Street 1:21 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3137
Practice Address - Country:US
Practice Address - Phone:516-987-5033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor