Provider Demographics
NPI:1003254434
Name:BUREL, ALBA
Entity type:Individual
Prefix:
First Name:ALBA
Middle Name:
Last Name:BUREL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 LAMBERT ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1417
Mailing Address - Country:US
Mailing Address - Phone:718-874-8446
Mailing Address - Fax:
Practice Address - Street 1:101 TYRELLAN AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2624
Practice Address - Country:US
Practice Address - Phone:718-281-3645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator