Provider Demographics
NPI:1003017237
Name:BARBASH, STEVEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:BARBASH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 KENNETH RD
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2921
Mailing Address - Country:US
Mailing Address - Phone:914-693-5803
Mailing Address - Fax:914-674-4368
Practice Address - Street 1:2600 NETHERLAND AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4801
Practice Address - Country:US
Practice Address - Phone:718-601-9161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009496103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01734156Medicaid
NY01734156Medicaid