Doctor Name: | MS. MAUREEN BURKE-DAVIS |
NPI Number: | 1053378927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 304195 |
Business Practice Address: | 19 Bradhurst Ave Hawthorne, NY - 105322167 |
Business Phone Number: | 9144938916 |
Business Fax Number: | 9144931097 |
Mailing Address: | 96 Congers Rd, NEW CITY |
State: | NY |
Postal Code: | 109566259 |
Phone Number: | 9144938916 |
Fax Number: | 9144931097 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 304195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |