Individual
DALTON NEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 754-7460
Mailing address
612 OCEAN AVE APT 6N, BROOKLYN, NY 11226-4423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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