Most Relevant Information
Provider Data
| NPI Number: | 1003200593 |
| Provider Name: | LARAINE CATHERINE BURKE |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 019591-1 |
Most Important Dates
| Enumeration Date: | 03/24/2015 |
| Last Updated: | 03/24/2015 |
Provider Practice Location
170 SHELTER RD
RONKONKOMA
NY
117794730
Practice Location Phone/Fax
| Phone: | 6319815185 |
| Fax: |
Provider Mailing Location
170 SHELTER RD.
RONKONKOMA
NY
117794730
Provider Mailing Phone/Fax
| Phone: | 6319815185 |
| Fax: |