Individual
MATTHEW BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-2962
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(212) 746-2962
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
249077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241123
—
NY
Enumeration date
11/11/2008
Last updated
03/03/2020
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