Provider Demographics
NPI:1649573866
Name:MORTON, DONALD ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ROBERT
Last Name:MORTON
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 1:32 NEWTON ROAD
Mailing Address - Street 2:PO BOX 583
Mailing Address - City:NEWTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12128-0583
Mailing Address - Country:US
Mailing Address - Phone:518-783-5292
Mailing Address - Fax:518-782-7349
Practice Address - Street 1:32 NEWTON ROAD
Practice Address - Street 2:
Practice Address - City:NEWTONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12128-0583
Practice Address - Country:US
Practice Address - Phone:518-783-5292
Practice Address - Fax:518-782-7349
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099587-1261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care