Dr. Diane A Bourke
M.D. | Developmental - Behavioral Pediatrics | Female
Dr. Diane A Bourke, M.D. is a Latham, New York based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Dr. Diane A Bourke is
7b Johnson Rd, Latham, New York - 12110-3003. She can be contacted on phone at
518-782-7733 and fax number 518-782-0800.
Dr. Diane A Bourke is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Diane A Bourke is
1124082375 which was assigned by NPPES on 14 Apr, 2006 and it was last updated on 18 Jan, 2018.
Dr. Diane A Bourke license number is
173530 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in New York.
Dr. Diane A Bourke is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Dr. Diane A Bourke basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Dr. Diane A Bourke |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Diane A Bourke address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7b Johnson Rd
Latham, NY, 12110-3003
United States |
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| Phone Number : | 518-782-7733 |
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| Fax Number : | 518-782-0800 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124082375 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Apr, 2006 |
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| Last Updated On : | 18 Jan, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Diane A Bourke are as mentioned. Primary taxonomy code for Dr. Diane A Bourke, M.D. is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 174400000X | Specialist | No | 173530 | NY |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 173530 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Diane A Bourke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01820997 | MEDICAID | NY | |
| 143257 | Other | NY | GHI/HMO |
| PRC110027743 | Other | NY | CDPHP |
| 091231000203 | Other | NY | FIDELIS |
| 5780670 | Other | NY | AETNA |
| 9042526 | Other | NY | MVP HELATHCARE |
| 042ZE1 | Other | NY | EMPIRE BLUECROSS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 711 Troy Schenectady Rd Ste 203
Latham, NY, 12110-2461
United States |
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| Phone Number : | 518-782-3700 |
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| Fax Number : | 518-782-3799 |
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Business Location:
Patients can refer following map for directions to
Dr. Diane A Bourke practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.