Healthcare Provider Details

I. General information

NPI: 1154566214
Provider Name (Legal Business Name): LEV BARSKY MEDICAL P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 12/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 OCEAN VIEW AVE
BROOKLYN NY
11235-6308
US

IV. Provider business mailing address

3069 WYNSUM AVE
MERRICK NY
11566-5414
US

V. Phone/Fax

Practice location:
  • Phone: 718-787-0700
  • Fax: 718-787-9061
Mailing address:
  • Phone: 718-787-0700
  • Fax: 718-787-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number196578
License Number StateNY

VIII. Authorized Official

Name: LEV BARSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-787-0700