National Provider Identifier
Samuel Louis Burge II, OTR/L
Samuel Louis Burge II, OTR/L is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Rochester, NY and a listed phone number of (585) 720-9608.
Profile Overview
- NPI
- 1366574626
- Provider Type
- Individual
- Primary Specialty
- Physical Medicine & Rehabilitation Physician
- Enumeration Date
- March 12, 2007
- Last Updated
- December 10, 2007
Practice Location
- 384 East Ave Ste B
- Rochester, NY 14607-1909
Phone: (585) 720-9608
Specialties
- Physical Medicine & Rehabilitation Physician (208100000X)
Full Record
- NPI
- 1366574626
- Entity Type
- Individual
- Last Name
- Burge
- First Name
- Samuel
- Middle Name
- Louis
- Name Suffix
- II
- Credential
- OTR/L
- Mailing Street Address
- 384 East Ave Ste B
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1909
- Mailing Country
- US
- Mailing Phone
- (585) 720-9608
- Practice Street Address
- 384 East Ave Ste B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1909
- Practice Country
- US
- Practice Phone
- (585) 720-9608
- Enumeration Date
- March 12, 2007
- Last Updated
- December 10, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Medicine & Rehabilitation Physician (208100000X)
- Other Identifiers
- 121937FR (NY, Preferred Care)