Rebarber, Andrei

Rebarber, Andrei is an individual health care provider with primary practice located at 190 Walnut St , Englewood NJ 07631-3106. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rebarber, Andrei can be contacted via phone (212) 722-7409.

Contact Information

Primary practice address
190 Walnut St Englewood NJ 07631-3106
Fax: (212) 722-7185
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA06811400 New Jersey
Other Service Providers / Specialist 174400000X 191616 New York

Profile Details

NPI number 1598723272
LBN Legal business name Rebarber, Andrei
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 16th, 2021 - about 3 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 1598723272 NPPES
New Jersey MEDICAID 202269647

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