Provider Demographics
NPI:1053378927
Name:BURKE-DAVIS, MAUREEN (NP)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:BURKE-DAVIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 CONGERS RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6259
Mailing Address - Country:US
Mailing Address - Phone:914-493-8916
Mailing Address - Fax:914-493-1097
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2167
Practice Address - Country:US
Practice Address - Phone:914-493-8916
Practice Address - Fax:914-493-1097
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304195363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health