Individual
DR. AMY ELIZABETH DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
325 MEETING HOUSE LANE, BLDG. 2 SUITE 301, SOUTHAMPTON, NY 11968
(631) 283-4048
(631) 283-5396
Mailing address
325 MEETING HOUSE LANE, BLDG. 2 SUITE 301, SOUTHAMPTON, NY 11968
(631) 283-4048
(631) 283-5396
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
304210
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400304663
MEDICARE PART B
NY
Enumeration date
07/12/2017
Last updated
01/04/2023
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