Healthcare Provider Details

I. General information

NPI: 1043330970
Provider Name (Legal Business Name): CHRISTOPHER SCOTT BURKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 LAFAYETTE ST
SCHENECTADY NY
12305-2007
US

IV. Provider business mailing address

31 LAFAYETTE ST
SCHENECTADY NY
12305-2007
US

V. Phone/Fax

Practice location:
  • Phone: 518-381-8911
  • Fax: 518-377-4292
Mailing address:
  • Phone: 518-381-8911
  • Fax: 518-377-4292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG178202
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC1-0024630
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number207331
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA11078700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: