Basic Information
Provider Information
NPI: 1073742755
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ORTON
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 85 W BURNSIDE AVE
Address2:  
City: BRONX
State: NY
PostalCode: 104534015
CountryCode: US
TelephoneNumber: 1787164400
FaxNumber: 7182287471
Practice Location
Address1: 85 W BURNSIDE AVE
Address2:  
City: BRONX
State: NY
PostalCode: 104534015
CountryCode: US
TelephoneNumber: 7187164400
FaxNumber: 7189012274
Other Information
ProviderEnumerationDate: 07/02/2009
LastUpdateDate: 02/14/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0205X283885NYY Allopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology

No ID Information.


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