Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 196578 | NY |
NPI | 1073603379 |
---|---|
Provider Name | Dr. Lev Barsky |
First Address | Merrick, NY 11566-5414 |
Second Address | Brooklyn, NY 11235-6308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2006 |
Last Update Date | 19/03/2008 |