Provider Information for 1902266091
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JOSH BURKE
Sex: Male
NPI: 1902266091
Last Updated: 2016-03-02
Certification Date:
Certification Date:
Details
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NPI | 1902266091 | ||||||||
Enumeration Date | 2016-03-02 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 224 ALEXANDER ST ROCHESTER, NY 14607-4000 United States Phone: 585-922-7770 | Fax: | ||||||||
Primary Practice Address | 1425 PORTLAND AVE ROCHESTER, NY 14621-3001 United States Phone: 585-922-4000 | Fax: | ||||||||
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