Basic Information
| Provider Information | |||||||||
| NPI: | 1114996329 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BURKE | ||||||||
| FirstName: | RHYAN | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 280 PARK AVE S | ||||||||
| Address2: | 27L | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100106121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309883180 | ||||||||
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| Practice Location | |||||||||
| Address1: | 244 E 84TH ST | ||||||||
| Address2: | FLOOR 3 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100282902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125700209 | ||||||||
| FaxNumber: | 2125700197 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5623679 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.