Jae Lyn Burke is a Medical in Elizabethtown, New York. Jae Lyn Burke practices all healthcare services and medical treatments related to Medical. The NPI Number for Jae Lyn Burke is 1194808998. The last update date is 2013-12-20.
Jae Lyn Burke's current location address is 66 Park Street, Elizabethtown, New York. You can contact this provider via phone number 5188736896. The mailing address for Jae Lyn Burke is 66 Park Street, Elizabethtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Lyn Burke |
|---|---|
| Address | 66 Park Street, Elizabethtown, New York |
| Phone Number | 5188736896 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1194808998 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2013-12-20 |
Provider Mailing Address Detail
| Address | 66 Park Street |
|---|---|
| City | Elizabethtown |
| State | New York (NY) |
| Post Code | 12932 |
| Phone Number | 5188736896 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1251 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 141364513 | NY | TAX ID |
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What is the unique 10-digit identifier code issued to Jae Lyn Burke by the Centers for Medicare & Medicaid Services?
The Jae Lyn Burke has been assigned the NPI (National Provider Identifier) 1194808998 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jae Lyn Burke located?
The Jae Lyn Burke is located at 66 Park Street, Elizabethtown, NY 12932.
What is Jae Lyn Burke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jae Lyn Burke's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194808998 to Jae Lyn Burke?
The Centers for Medicare & Medicaid Services originally issued the 1194808998 to Jae Lyn Burke on 2006-10-23.
As of what date were the Jae Lyn Burke's details last updated?
The information pertaining to the Jae Lyn Burke, including its address, specialty, and other details, was most recently updated on 2013-12-20.