IndividualActive
Diane Bourke, M.D.
NPI 1124082375 · Developmental - Behavioral Pediatrics Physician · Latham, NY
Provider details
- NPI number
- 1124082375
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 173530 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Practice location
7b Johnson Rd
Latham, NY 12110-3003
Phone: (518) 782-7733
Fax: (518) 782-0800
Approximate (ZIP-level) locationGet directions
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2018-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.