Provider Demographics
NPI:1659641629
Name:BURTON RINDFLEISH MD PC
Entity Type:Organization
Organization Name:BURTON RINDFLEISH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BURTON
Authorized Official - Middle Name:
Authorized Official - Last Name:RINDFLEISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-968-3400
Mailing Address - Street 1:1254 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1059
Mailing Address - Country:US
Mailing Address - Phone:914-968-3400
Mailing Address - Fax:914-968-3402
Practice Address - Street 1:1254 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1059
Practice Address - Country:US
Practice Address - Phone:914-968-3400
Practice Address - Fax:914-968-3402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092384207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00148912Medicaid
NY00148912Medicaid