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NPI Code Detail

MEDICARE: BARRY S RAND M.D.

MEDICARE: BARRY S RAND M.D.
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
12084P0800XPsychiatry Physician122861NY

General Provider Information

NPI Number : 1609958461
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY S RAND M.D.
Provider Business Mailing Address
First Line : 95 PIERREPONT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-2704
Country : US
Telephone Number : 718-625-0098
Fax Number : 718-625-1744
Provider Business Practice Location Address
First Line : 95 PIERREPONT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-2704
Country : US
Telephone Number : 718-625-0098
Fax Number : 718-625-1744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 09/18/2012

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