Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANE A BOURKE, M.D.
ActiveDR. DIANE A BOURKE, M.D. is a Developmental-Behavioral Pediatrics healthcare provider located in LATHAM, New York. NPI 1124082375 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · LATHAM, NY
Registration Details
- NPI Number
- 1124082375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2006 (20.148384632662 yrs)
- Last Updated
- Jan 18, 2018
- Licenses
-
173530 (NY)173530 (NY)
Practice Information
- Address
-
7B JOHNSON RDLATHAM, NY, 121103003Browse NY providers · Browse ZIP 12110
- Phone
- 5187827733
- Fax
- 5187820800
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
- Additional Specialty
- Specialist
Other Developmental-Behavioral Pediatrics Providers in LATHAM, NY
| Name | Credential | NPI |
|---|---|---|
| DR. CATHERINE CANARY | M.D. | 1992774780 |
| DR. ANTHONY F MALONE | M.D. | 1033172952 |
| MICAELA NORDHAUSER | MD | 1730138330 |
| DR. BETSY BERKOVICH | D.O. | 1992898563 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.