Provider Demographics
NPI:1033381371
Name:POPECKI, BARBARA R (AUD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:R
Last Name:POPECKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 NORTHERN BLVD
Mailing Address - Street 2:STE. 100
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5206
Mailing Address - Country:US
Mailing Address - Phone:516-482-3223
Mailing Address - Fax:516-482-2533
Practice Address - Street 1:600 NORTHERN BLVD.
Practice Address - Street 2:STE. 100
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5206
Practice Address - Country:US
Practice Address - Phone:516-482-3223
Practice Address - Fax:516-482-2533
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2017-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1452231H00000X
NY14000005276237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter