Diane A Bourke in Latham - Developmental - Behavioral Pediatrics
Diane A Bourke - NPI 1124082375
Diane A Bourke is a Developmental - Behavioral Pediatrics in Latham, New York. Diane A Bourke practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2018-01-18 |
Provider Mailing Address Detail
| Address | 7b Johnson Rd |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 121103003 |
| Phone Number | 5187827733 |
| Fax Number | 5187820800 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 173530 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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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 Developmental - Behavioral Pediatrics, and it falls under the taxonomy code 2080P0006X, 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.
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