Provider Demographics
NPI:1376395111
Name:BURKE, ALSION TAMEKA (LPN)
Entity Type:Individual
Prefix:
First Name:ALSION
Middle Name:TAMEKA
Last Name:BURKE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1307
Mailing Address - Country:US
Mailing Address - Phone:646-626-3251
Mailing Address - Fax:
Practice Address - Street 1:155 HILLSIDE AVE
Practice Address - Street 2:HOUSE
Practice Address - City:MOUNT VERNON, NY
Practice Address - State:NY
Practice Address - Zip Code:10553
Practice Address - Country:US
Practice Address - Phone:164-662-6325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1850433164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse