Provider Demographics
NPI:1841909751
Name:BURNEY, LINDA MARY (SPECIAL ED TEACHER)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARY
Last Name:BURNEY
Suffix:
Gender:F
Credentials:SPECIAL ED TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HYSON WAY
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-1833
Mailing Address - Country:US
Mailing Address - Phone:516-852-8134
Mailing Address - Fax:
Practice Address - Street 1:4 HYSON WAY
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-1833
Practice Address - Country:US
Practice Address - Phone:516-852-8134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist