Provider Demographics
NPI:1194530006
Name:BURKE, MADISON EMILY (EMT, PT)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:EMILY
Last Name:BURKE
Suffix:
Gender:F
Credentials:EMT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 N BEECH ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2606
Mailing Address - Country:US
Mailing Address - Phone:516-996-5835
Mailing Address - Fax:
Practice Address - Street 1:1000 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11549-0001
Practice Address - Country:US
Practice Address - Phone:516-463-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer