Healthcare Provider Details

I. General information

NPI: 1609834100
Provider Name (Legal Business Name): FRANK WILLIAM BARBER JR. PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 PHOENIX MILLS RD
COOPERSTOWN NY
13326-5716
US

IV. Provider business mailing address

121 TROLLEY LINE RD
COOPERSTOWN NY
13326-5233
US

V. Phone/Fax

Practice location:
  • Phone: 607-544-2600
  • Fax:
Mailing address:
  • Phone: 585-474-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: