Provider Demographics
NPI:1255666194
Name:BURT-MILLER, BARRINGTON DEQUESSIE (DO)
Entity Type:Individual
Prefix:DR
First Name:BARRINGTON
Middle Name:DEQUESSIE
Last Name:BURT-MILLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 CROSS BRONX EXPY
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-4885
Mailing Address - Country:US
Mailing Address - Phone:718-665-7565
Mailing Address - Fax:
Practice Address - Street 1:199 WATER ST
Practice Address - Street 2:27 FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3526
Practice Address - Country:US
Practice Address - Phone:212-897-6000
Practice Address - Fax:212-897-6030
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine