MEDICARE: SMADAR H AUERBACH BARBER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	PS008093L	PA
2	103TC1900X	Counseling Psychologist	010164-1	NY

General Provider Information

NPI Number	:	1336195502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SMADAR H AUERBACH BARBER PHD

Provider Business Mailing Address
First Line	:	17 SEAVIEW LN
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-1737
Country	:	US
Telephone Number	:	516-767-0671
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 SEAVIEW LN
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-1737
Country	:	US
Telephone Number	:	516-767-0671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/21/2022

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