National Provider Identifier
Samuel Louis Burge II
Samuel Louis Burge II is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 385-9030.
Profile Overview
- NPI
- 1356527519
- Provider Type
- Organization
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 17, 2008
- Last Updated
- January 17, 2008
Practice Location
- 384 East Ave
- Suite B
- Rochester, NY 14607-1909
Phone: (585) 385-9030
Mailing Address
- 790 Linden Ave
- Rochester, NY 14625-2716
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1356527519
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Samuel Louis Burge II
- Mailing Street Address
- 790 Linden Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-2716
- Mailing Country
- US
- Mailing Phone
- (585) 385-9030
- Practice Street Address
- 384 East Ave
- Practice Address Line 2
- Suite B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1909
- Practice Country
- US
- Practice Phone
- (585) 385-9030
- Enumeration Date
- January 17, 2008
- Last Updated
- January 17, 2008
- Authorized Official Last Name
- Hristodoulou
- Authorized Official First Name
- Vickie
- Authorized Official Title
- Director
- Authorized Official Phone
- (585) 385-9030
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mrs.
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)