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Jae Lyn Burke, PA-C
Medical Physician Assistant in Elizabethtown, New York
NPI 1194808998

Jae Lyn Burke is a Medical Physician Assistant based in Elizabethtown, NY and is specialized in Medical. Jae Lyn Burke practices in Elizabethtown, NY and has the professional credentials of PA-C. The NPI Number for Jae Lyn Burke is 1194808998 and holds a License No. 001251 (New York).

The current practice location address for Jae Lyn Burke is 66 Park Street, Elizabethtown, NY and can be reached out via phone at 518-873-6896.

Location: 66 Park Street, Elizabethtown, NY, 12932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194808998
Provider Name
Jae Lyn Burke
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
66 Park Street, Elizabethtown, NY, 12932
Phone Number
518-873-6896
Fax Number
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141364513 01 NY TAX ID
institution
Provider Business Practice Location Address Details
Address
66 Park Street
City
Elizabethtown
State
New York
Zip
12932
Phone Number
518-873-6896
Fax Number
person
Provider Business Mailing Address Details
Address
66 Park Street
City
Elizabethtown
State
New York
Zip
12932
Phone Number
518-873-6896
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
001251 (New York)
Definition
Definition to come...
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