Physician Compare National (NPI:1134202005)

HEALTHCARE PROVIDER: ILAN BURSTEIN DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1134202005
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709046121
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120322000194
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURSTEIN
	Individual professional last name
Provider First Name	ILAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6 WISHING WELL LN
	Group Practice or individual's line 1 address
City	STAMFORD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	069021631
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y