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Individual
DR. ROBERT S DALTON
Active
Individual
DR. ROBERT S DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X-05758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010005758
EXCELLUS PROVIDER #
NY
01
—
101867AN
PREFERRED CARE PROVIDER #
NY
01
—
33981B
MEDICARE PTAN
NY
01
—
60054
AETNA
TX
01
—
8664
BLUE SHIELD PROVIDER #
NY
01
—
C05758-0
WORKER COMP PROVIDER #
NY
Enumeration date
07/03/2006
Last updated
12/28/2020
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