Provider Demographics
NPI:1013028638
Name:DAYSON, DON A (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:A
Last Name:DAYSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1738
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-0902
Mailing Address - Country:US
Mailing Address - Phone:212-862-6000
Mailing Address - Fax:212-222-7955
Practice Address - Street 1:222 W 116TH ST
Practice Address - Street 2:J'VALLD CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2416
Practice Address - Country:US
Practice Address - Phone:212-862-6000
Practice Address - Fax:212-222-7955
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00697521Medicaid
NY0079521OtherGHI
NY64A621Medicare ID - Type Unspecified
NY00697521Medicaid