Individual
DR. EDMUND J BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
435 NEW KARNER ROAD, ALBANY, NY 12205
(518) 456-2060
(518) 456-2361
Mailing address
435 NEW KARNER ROAD, ALBANY, NY 12205
(518) 456-2060
(518) 456-2361
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01267096
—
NY
Enumeration date
11/13/2006
Last updated
07/08/2007
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