Provider Demographics
NPI:1952418501
Name:BURTON, DANIEL ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ARTHUR
Last Name:BURTON
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 1:235 E 67TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6040
Mailing Address - Country:US
Mailing Address - Phone:212-288-9300
Mailing Address - Fax:212-288-2639
Practice Address - Street 1:235 E 67TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6040
Practice Address - Country:US
Practice Address - Phone:212-288-9300
Practice Address - Fax:212-288-2639
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165183207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE87317Medicare UPIN