MEDICARE: BARBARA E OSTROV MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0216X	Pediatric Rheumatology Physician	MD038276E	PA
2	2080P0216X	Pediatric Rheumatology Physician	165024	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447207444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA E OSTROV MD

Provider Business Mailing Address
First Line	:	PO BOX 854
Second Line	:	MC A410
City	:	HERSHEY
State	:	PA
Zip	:	17033-0854
Country	:	US
Telephone Number	:	717-531-5995
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 NEW SCOTLAND AVE
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-3795
Country	:	US
Telephone Number	:	185-262-5333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	09/01/2020

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