Burke, Brian T

Burke, Brian T is an individual health care provider with primary practice located at 2209 Genesee Street , Utica NY 13501-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burke, Brian T can be contacted via phone (315) 798-8171.

Contact Information

Primary practice address
2209 Genesee Street Utica NY 13501-4308
Phone: (315) 798-8171
Fax: (315) 734-3084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C70003511 Delaware
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 263648 New York

Profile Details

NPI number 1386770527
LBN Legal business name Burke, Brian T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2007
Last updated May 1st, 2023 - about last year

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 1386770527 NPPES
New York MEDICAID 03442528

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