Individual
MS. JACQUELINE T BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
545 1ST AVE, C122, NEW YORK, NY 10016-6401
(212) 263-5489
Mailing address
545 1ST AVE, C122, NEW YORK, NY 10016-6401
(212) 263-5489
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30-301748
NY
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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