MEDICARE: VERA BURKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	101611-1	NY

General Provider Information

NPI Number	:	1770095770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERA BURKE

Provider Business Mailing Address
First Line	:	1776 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2341
Country	:	US
Telephone Number	:	757-266-1804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	09/05/2024

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Directions to “ VERA BURKE ” Practice Location

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