Provider Demographics
NPI:1558867200
Name:BURACK, DANIEL (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BURACK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:3411 WAYNE AVE FL 4H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2535
Mailing Address - Country:US
Mailing Address - Phone:718-920-8831
Mailing Address - Fax:718-920-2746
Practice Address - Street 1:3411 WAYNE AVE FL 4H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2535
Practice Address - Country:US
Practice Address - Phone:718-920-8831
Practice Address - Fax:718-920-2746
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY309559207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease