Individual
LAUREEN ANNE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2275 CLINTON AVE S, ROCHESTER, NY 14618-2623
(585) 730-7024
(585) 563-8791
Mailing address
2275 CLINTON AVE S, ROCHESTER, NY 14618-2623
(585) 730-7024
(585) 563-8791
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
216682-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000919293004
BC/BS OF WESTERN NEW YORK
NY
01
—
000919293005
BC/BS OF WESTERN NEW YORK
NY
01
—
000919293006
BC/BS OF WESTERN NEW YORK
NY
05
—
02178403
—
NY
01
—
0296822
GHI
NY
01
—
106821CK
PREFERRED CARE
NY
01
—
7047288
AETNA
NY
01
—
P010216682
BLUE CHOICE
NY
01
—
P030216682
BC/BS
NY
Enumeration date
04/03/2006
Last updated
04/10/2012
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