Healthcare Provider Details

I. General information

NPI: 1497754949
Provider Name (Legal Business Name): BARRY LESLIE STRAUSS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 MEETING HOUSE LN
SOUTH HAMPTON NY
11968-5051
US

IV. Provider business mailing address

353 MEETING HOUSE LN
SOUTH HAMPTON NY
11968-5051
US

V. Phone/Fax

Practice location:
  • Phone: 631-283-6611
  • Fax: 631-283-6316
Mailing address:
  • Phone: 631-283-6611
  • Fax: 631-283-6316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number116994
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: