Healthcare Provider Details

I. General information

NPI: 1376710178
Provider Name (Legal Business Name): JAMES MICHAEL BARSI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 07/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 TECHNOLOGY DR SUITE 11
EAST SETAUKET NY
11733-3472
US

IV. Provider business mailing address

14 TECHNOLOGY DR SUITE 11
EAST SETAUKET NY
11733-3472
US

V. Phone/Fax

Practice location:
  • Phone: 631-444-4233
  • Fax:
Mailing address:
  • Phone: 631-444-4233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number242454
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number242454
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: