CHANELE BURGUN, MD

Family Medicine

Active Individual
NPI: 1619954823

Practice Address

212 HIGHBRIDGE ST C
Fayetteville, NY 13066

Phone: (315) 637-0477

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 217557 (NY)

Frequently Asked Questions

NPI 1619954823 is the National Provider Identifier for CHANELE BURGUN, MD, a Family Medicine provider located in Fayetteville, NY. This NPI was enumerated on December 29, 2005.
CHANELE BURGUN, MD practices at 212 HIGHBRIDGE ST C, Fayetteville, NY 13066.

Quick Facts

NPI
1619954823
Type
Individual
Enumerated
Dec 29, 2005
Last Updated
Oct 8, 2015

Nearby Providers