Individual
MS. CHRISTINE MARY BURKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT PHYSICAL THERAPIS
Contact information
Practice address
4 MAIN ST, GREENWICH, NY 12834-1343
(518) 692-3311
(518) 692-8153
Mailing address
173 MAHAFFY RD, GREENWICH, NY 12834-3021
(518) 692-1175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010790-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004039920001
COMMUNITY BLUE
NY
01
—
10074428
CDPHP
NY
01
—
394885
MVP
NY
01
—
6697957
GHI (PPO)
NY
01
—
7652477
AETNA
NY
01
—
77028
GHI (HMO)
NY
01
—
QQ9211
EMPIRE BC/BS
NY
Enumeration date
10/06/2005
Last updated
07/08/2007
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