Provider Demographics
NPI:1003975632
Name:BARBERA, SAVERIO J (MD)
Entity Type:Individual
Prefix:
First Name:SAVERIO
Middle Name:J
Last Name:BARBERA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:571 SAINT JOSEPHS BLVD
Mailing Address - Street 2:FL 2
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3230
Mailing Address - Country:US
Mailing Address - Phone:607-271-2050
Mailing Address - Fax:
Practice Address - Street 1:HEALTH SCIENCE CENTER NICOLLS ROAD
Practice Address - Street 2:T-16-080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-3575
Practice Address - Fax:631-444-1054
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2018-11-13
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Provider Licenses
StateLicense IDTaxonomies
NY197598207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02220964Medicaid
NY02220964Medicaid
NY436Q11Medicare UPIN