| Doctor Name: | MRS. VANESSA LEE SPIVEY-BURKE |
| NPI Number: | 1073578712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, APRN,BC - GNP |
| License Number: | F340161-1 |
| Business Practice Address: | 79 Middleville Rd Northport, NY - 117682200 |
| Business Phone Number: | 6312614400 |
| Business Fax Number: | 6312545132 |
| Mailing Address: | 336-13 Commack Rd, DEER PARK |
| State: | NY |
| Postal Code: | 11729 |
| Phone Number: | 6315867246 |
| Fax Number: | 6312545132 |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 05/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | F340161-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |