Barbakoff, Jay M

Barbakoff, Jay M is an individual health care provider with primary practice located at 60 North Country Rd Suite 203, Port Jefferson NY 11777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Barbakoff, Jay M can be contacted via phone (631) 928-3444.

Contact Information

Primary practice address
60 North Country Rd Suite 203 Port Jefferson NY 11777
Fax: (877) 434-7939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 165292 New York

Profile Details

NPI number 1003994260
LBN Legal business name Barbakoff, Jay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003994260 NPPES
New York MEDICAID 011228990
New York Other 22F45EC831

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