Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 106348 | NY |
NPI | 1023229648 |
---|---|
Provider Name | Dr. Dennis Barek |
First Address | Great Neck, NY 11021-4916 |
Second Address | Great Neck, NY 11021-4916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 13/04/2011 |