Jamie L Burke
Individual provider Active NPI Specialist · Mahopac, NY
NPI 1841850328 · NPPES record last updated Jun 18, 2019
Key facts
- NPI
- 1841850328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 4 Marina Dr Apt A2
Mahopac, NY 10541-1612 - Phone
- (845) 654-0934
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
4 Marina Dr Apt A2
Mahopac, NY 10541-1612
Mailing address
4 Marina Dr Apt A2
Mahopac, NY 10541-1612
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.