Provider Demographics
NPI:1023189024
Name:PONIEMAN, BARBARA L (MD)
Entity Type:Individual
Prefix:MR
First Name:BARBARA
Middle Name:L
Last Name:PONIEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE ZUCKER HILLSIDE HOSPITAL - DEPT PSYCH
Mailing Address - Street 2:75-59 263RD STREET
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004
Mailing Address - Country:US
Mailing Address - Phone:718-470-8037
Mailing Address - Fax:
Practice Address - Street 1:THE ZUCKER HILLSIDE HOSPITAL - DEPT PSYCH
Practice Address - Street 2:75-59 263RD STREET
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004
Practice Address - Country:US
Practice Address - Phone:718-470-8141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2357632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry