National Provider Identifier
Angela D Burke
Angela D Burke is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (508) 494-3183.
Profile Overview
- NPI
- 1154158194
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (508) 494-3183
Mailing Address
- 12 Prior Dr
- Framingham, MA 01701-4139
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1154158194
- Entity Type
- Individual
- Last Name
- Burke
- First Name
- Angela
- Middle Name
- D
- Mailing Street Address
- 12 Prior Dr
- Mailing City
- Framingham
- Mailing State
- MA
- Mailing ZIP Code
- 01701-4139
- Mailing Country
- US
- Mailing Phone
- (508) 494-3183
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (508) 494-3183
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Athletic Trainer (2255A2300X)