Healthcare Provider Details

I. General information

NPI: 1629163654
Provider Name (Legal Business Name): ELAINE S BURKE ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 SENECA ST SUITE 5
ONEIDA NY
13421-2653
US

IV. Provider business mailing address

414 UNION ST ATTN: HUMAN RESOURCE
SCHENECTADY NY
12305-1118
US

V. Phone/Fax

Practice location:
  • Phone: 315-363-3950
  • Fax: 315-363-3951
Mailing address:
  • Phone: 518-374-5353
  • Fax: 518-377-2517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number172192-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF300034-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: