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Individual

DR. GRETCHEN SMITH BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
170 SCIENCE PKWY, ROCHESTER, NY 14620-4251
(585) 545-7200
Mailing address
170 SCIENCE PKWY, ROCHESTER, NY 14620-4251
(585) 545-7200

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
192487
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01685212
NY
01
5018472
AETNA
NY
01
7702366
COMMERCIAL INSURANCES
NY
01
P010192487
EXCELLUS BL CRSS BL SHLD
NY
Enumeration date
06/23/2006
Last updated
07/09/2024
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