National Provider Identifier
Gary Lee Burgan
Gary Lee Burgan is listed in the NPPES registry with a primary specialty of Driver in Lyons, NY and a listed phone number of (315) 946-5722.
Profile Overview
- NPI
- 1750426441
- Provider Type
- Individual
- Primary Specialty
- Driver
- Enumeration Date
- February 20, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1519 Nye Road
- Wayne Behavioral Health Network
- Lyons, NY 14489
Phone: (315) 946-5722
Mailing Address
- 364 Murray St
- Newark, NY 14513
Specialties
- Driver (172A00000X)
Full Record
- NPI
- 1750426441
- Entity Type
- Individual
- Last Name
- Burgan
- First Name
- Gary
- Middle Name
- Lee
- Name Prefix
- Mr.
- Mailing Street Address
- 364 Murray St
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513
- Mailing Country
- US
- Mailing Phone
- (315) 331-9763
- Practice Street Address
- 1519 Nye Road
- Practice Address Line 2
- Wayne Behavioral Health Network
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489
- Practice Country
- US
- Practice Phone
- (315) 946-5722
- Practice Fax
- (315) 946-7066
- Enumeration Date
- February 20, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Driver (172A00000X)