Diane A Bourke is a Specialist in Latham, New York. Diane A Bourke practices all healthcare services and medical treatments related to Specialist. The NPI Number for Diane A Bourke is 1124082375. The last update date is 2018-01-18.
Diane A Bourke's current location address is 7b Johnson Rd, Latham, New York. You can contact this provider via phone number 5187827733 and fax number 5187820800. The mailing address for Diane A Bourke is 7b Johnson Rd, Latham, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Diane A Bourke |
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Address | 7b Johnson Rd, Latham, New York |
Phone Number | 5187827733 |
Fax Number | 5187820800 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1124082375 |
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Provider Enumeration Date | 2006-04-14 |
Last Updated Date | 2018-01-18 |
Provider Mailing Address Detail
Address | 7b Johnson Rd |
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City | Latham |
State | New York (NY) |
Post Code | 121103003 |
Phone Number | 5187827733 |
Fax Number | 5187820800 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 173530 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
042ZE1 | NY | EMPIRE BLUECROSS | |
143257 | NY | GHI/HMO | |
5780670 | NY | AETNA | |
9042526 | NY | MVP HELATHCARE | |
1820997 | NY | -- | |
91231000203 | NY | FIDELIS | |
PRC110027743 | NY | CDPHP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Diane A Bourke by the Centers for Medicare & Medicaid Services?
The Diane A Bourke has been issued the NPI (National Provider Identifier) 1124082375, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Diane A Bourke's facilities are situated?
The facilities of Diane A Bourke are physically located at the following address: 7B Johnson Rd, Latham, NY, 121103003.
What is Diane A Bourke's area of expertise and its corresponding taxonomy classification?
The Diane A Bourke's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Diane A Bourke receive its 1124082375 assignment from the Centers for Medicare & Medicaid Services?
The Diane A Bourke was assigned its 1124082375 by the Centers for Medicare & Medicaid Services on 2006-04-14.
As of what date were the Diane A Bourke's details last updated?
The information pertaining to the Diane A Bourke, including its address, specialty, and other details, was most recently updated on 2018-01-18.
NPI Number: 1215930425
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