Doctor Name: | DR. DENNIS BAREK |
NPI Number: | 1023229648 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 106348 |
Business Practice Address: | 29 Wensley Dr Great Neck, NY - 110214916 |
Business Phone Number: | 5168296567 |
Business Fax Number: | 5168297652 |
Mailing Address: | 29 Wensley Drive, GREAT NECK |
State: | NY |
Postal Code: | 110214916 |
Phone Number: | 5168296567 |
Fax Number: | 5168297652 |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 04/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 106348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |