Individual
ANGELA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9027 SUTPHIN BLVD, JAMAICA, NY 11435-3647
(718) 557-2826
Mailing address
9027 SUTPHIN BLVD, JAMAICA, NY 11435-3647
(718) 557-2826
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
384378
NY
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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