=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194875930
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BURTON L SEKULER DDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2007
-----------------------------------------------------
Last Update Date | 01/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 139 E 63RD ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021-7408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-838-4525
-----------------------------------------------------
Fax | 212-319-1651
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 139 E 63RD ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021-7408
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-838-4525
-----------------------------------------------------
Fax | 212-319-1651
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 22510
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------