Provider Demographics
NPI:1124008909
Name:CAYTON, ALBERTO L (MD)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:L
Last Name:CAYTON
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 1:19 TREEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2406
Mailing Address - Country:US
Mailing Address - Phone:631-692-2769
Mailing Address - Fax:631-692-6589
Practice Address - Street 1:6414 BAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-3929
Practice Address - Country:US
Practice Address - Phone:718-837-8666
Practice Address - Fax:718-837-5096
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY125430208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00495661Medicaid
B12197Medicare UPIN
NY282922Medicare ID - Type Unspecified
NY282923Medicare ID - Type Unspecified
CT020001643Medicare ID - Type Unspecified