Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 159843 | NY |
Y | 2086X0206X | Surgical Oncologist | 159843 | NY |
NPI | 1326068420 |
---|---|
Provider Name | Carl Barbera |
First Address | Poughkeepsie, NY 12601-6027 |
Second Address | Poughkeepsie, NY 12601-6027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 30/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01101904 | (05) | NY |
21E698D111 | (02) | NY |
A61262 | (02) | NY |