Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanele M Burgun, MD

Individual provider Family Medicine Physician · NPI 1619954823

Chanele M Burgun, MD is a Family Practice in Fayetteville, New York. Graduated from Howard University College of Medicine in 1997, 29 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group. Licensed in New York.

Years since qualifying
29
Trained at
Howard University College of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

212 Highbridge St C
Fayetteville, NY 13066-1981
Phone: (315) 637-0477
Fax: (315) 637-0559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 217557 (NY)

Record details

NPI number1619954823
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESOctober 8, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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