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Individual

DR. AINSLEY KELLER BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
118 W 79TH ST, 1A, NEW YORK, NY 10024-6445
(917) 355-5885
Mailing address
12 W 72ND ST, APT 3K, NEW YORK, NY 10023-4163
(917) 355-5885

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013790
NY

Other

Enumeration date
04/10/2007
Last updated
12/09/2011
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