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Dr. Diane A Bourke, MD
Specialist in Latham, New York
NPI 1124082375

Diane A Bourke is a Specialist based in Latham, NY. Diane A Bourke practices in Latham, NY and has the professional credentials of MD. The NPI Number for Diane A Bourke is 1124082375 and holds a License No. 173530 (New York).

The current practice location address for Diane A Bourke is 7B Johnson Rd, Latham, NY and can be reached out via phone at 518-782-7733 and via fax at 518-782-0800.

Location: 7B Johnson Rd, Latham, NY, 12110-2461
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Provider Profile Details
NPI Number
1124082375
Provider Name
Diane A Bourke
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7B Johnson Rd, Latham, NY, 12110-2461
Phone Number
518-782-7733
Fax Number
518-782-0800
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042ZE1 01 NY EMPIRE BLUECROSS
143257 01 NY GHI/HMO
5780670 01 NY AETNA
9042526 01 NY MVP HELATHCARE
01820997 05 NY
091231000203 01 NY FIDELIS
PRC110027743 01 NY CDPHP
institution
Provider Business Practice Location Address Details
Address
7B Johnson Rd
City
State
Zip
12110-3003
Phone Number
518-782-7733
Fax Number
518-782-0800
person
Provider Business Mailing Address Details
Address
7B Johnson Rd
City
State
Zip
12110-3003
Phone Number
518-782-7733
Fax Number
518-782-0800
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
173530 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Developmental - Behavioral Pediatrics
Taxonomy
License No.
173530 (New York)
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
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