Provider Demographics
NPI:1679538896
Name:CUNHA, BURKE A (MD,)
Entity type:Individual
Prefix:DR
First Name:BURKE
Middle Name:A
Last Name:CUNHA
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Gender:M
Credentials:MD,
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Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:SUITE 432
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3808
Mailing Address - Country:US
Mailing Address - Phone:516-663-2507
Mailing Address - Fax:516-663-2753
Practice Address - Street 1:222 STATION PLZ N
Practice Address - Street 2:SUITE 432
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3808
Practice Address - Country:US
Practice Address - Phone:516-663-2507
Practice Address - Fax:516-663-2753
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-09-17
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Provider Licenses
StateLicense IDTaxonomies
NY140392207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17A901Medicare PIN
NYC06216Medicare UPIN