CARISSA CECILY BURGARD
NPI 1811687619
Specialist in Middle Island, NY

Q: What is Carissa Burgard's NPI number?

The NPI number for Carissa Burgard is 1811687619. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Carissa Burgard's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Carissa Burgard was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2023

35 LONGWOOD RD, MIDDLE ISLAND, NY 11953(631) 924-0008 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carissa Cecily Burgard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA CECILY BURGARD (NPI 1811687619) is an individual specialist in Middle Island, New York and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1811687619

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameCARISSA CECILY BURGARD

Location Address35 LONGWOOD RDMiddle Island, NY 11953-2045

Mailing AddressPo Box 12Middle Island, NY 11953-0012

Phone(631) 924-0008

Sole ProprietorYes

Enumeration DateMay 15, 2023

NPPES CertifiedMay 14, 2023

✔ NPI 1811687619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

35 LONGWOOD RD, Middle Island, NY 11953

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STACEY ANNE QUINTANILLA M.A.

Health Educator