Healthcare Provider Details

I. General information

NPI: 1568225878
Provider Name (Legal Business Name): BARAK DURANI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 ROUTE 6 STE 7
BREWSTER NY
10509-2538
US

IV. Provider business mailing address

2435 ROUTE 6 STE 7
BREWSTER NY
10509-2538
US

V. Phone/Fax

Practice location:
  • Phone: 845-279-3720
  • Fax:
Mailing address:
  • Phone: 914-997-0566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number064708
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: