Provider Demographics
NPI:1205889979
Name:BURZYNSKI, JOSEPH NORBERT (MD MPH)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NORBERT
Last Name:BURZYNSKI
Suffix:
Gender:
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 28TH ST # CN-48
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-4130
Mailing Address - Country:US
Mailing Address - Phone:347-396-6299
Mailing Address - Fax:
Practice Address - Street 1:295 FLATBUSH AVENUE EXT FL 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3001
Practice Address - Country:US
Practice Address - Phone:347-396-6299
Practice Address - Fax:347-396-6367
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2005791207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E54928Medicare UPIN
NY01056IMedicare ID - Type UnspecifiedGHI
NY01056JMedicare ID - Type UnspecifiedGHI
NY834641Medicare ID - Type UnspecifiedEMPIRE