Burke, Alban C

Burke, Alban C is an individual health care provider with primary practice located at 147 Lake St , Newburgh NY 12550-5263. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Burke, Alban C can be contacted via phone (845) 563-8000.

Contact Information

Primary practice address
147 Lake St Newburgh NY 12550-5263
Phone: (845) 563-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11091 Connecticut
Dental Providers / Dentist 122300000X 047291 New York

Profile Details

NPI number 1104942606
LBN Legal business name Burke, Alban C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jun 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104942606 NPPES
New York MEDICAID 02010126

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