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Individual
MR. ROBERT PATRICK BURKE
Active
Individual
MR. ROBERT PATRICK BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214254
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951179
—
NY
01
—
10042611
CDPHP ID NUMBER
—
01
—
571169454
BLUE SHIELD
NY
01
—
699361
MVP PAYEE NUMBER
—
Enumeration date
02/27/2006
Last updated
03/06/2019
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