Provider Demographics
NPI:1245323989
Name:BURPHY, EUGENIA (NP)
Entity type:Individual
Prefix:MS
First Name:EUGENIA
Middle Name:
Last Name:BURPHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:EUGENIA
Other - Middle Name:
Other - Last Name:BURPHY-KROMAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:79-01 BROADWAY
Mailing Address - Street 2:D1-01
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1329
Mailing Address - Country:US
Mailing Address - Phone:718-334-1920
Mailing Address - Fax:718-334-5958
Practice Address - Street 1:82-68 164TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1234
Practice Address - Country:US
Practice Address - Phone:718-883-3225
Practice Address - Fax:718-883-6193
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420371363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology