Individual
MARY BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 ALSTON PL, DOUGLASTON, NY 11363-1203
(917) 834-4321
(718) 428-6629
Mailing address
3 ALSTON PL, DOUGLASTON, NY 11363-1203
(917) 834-4321
(718) 428-6629
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
004934-1
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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