Basic Information
| Provider Information | |||||||||
| NPI: | 1932144110 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIRTON | ||||||||
| FirstName: | DANNY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 69 SOUTH BROADWAY | ||||||||
| Address2: | GERIATRIC SERVICES, PC | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143765555 | ||||||||
| FaxNumber: | 9149641477 | ||||||||
| Practice Location | |||||||||
| Address1: | 69 SOUTH BROADWAY | ||||||||
| Address2: | GERIATRIC SERVICES, P.C. | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107014004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143765555 | ||||||||
| FaxNumber: | 9149641477 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2006 | ||||||||
| LastUpdateDate: | 03/31/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 172539 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01524230 | 05 | NY | MEDICAID |