Eugene Burke

NPI 1083787543 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083787543
Gender Male
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8900 VAN WYCK EXPY
JAMAICA NY, 11418-2897, US
Phone (718) 206-7160
Fax
Business Location
80 MARCUS DR
PROVIDER ENROLLMENT
MELVILLE NY, 11747-4230, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 204881
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According to our database, Eugene Burke NPI is 1083787543, taxonomy code is 2084P0800X and license number is 204881, license state is located at New York. Eugene Burke physically located at 8900 Van Wyck Expy, Jamaica NY, 11418-2897. NPI Number Eugene Burke has the Individual type.

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1083787543 NPI number is provided on an as is basis without warranty of any kind. 1083787543 is maintained by the National Plan & Provider Enumeration System. The contents of Eugene Burke are for informational purposes only.