Provider Demographics
NPI:1811415649
Name:ANGRIST, BURTON M (MD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:M
Last Name:ANGRIST
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 1:39 NUTMEG RD
Mailing Address - Street 2:
Mailing Address - City:HIGH FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12440
Mailing Address - Country:US
Mailing Address - Phone:845-687-9511
Mailing Address - Fax:
Practice Address - Street 1:39 NUTMEG RD.
Practice Address - Street 2:
Practice Address - City:HIGH FALLS
Practice Address - State:NY
Practice Address - Zip Code:12440
Practice Address - Country:US
Practice Address - Phone:845-687-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60-0902122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry