Provider Demographics
NPI:1043359276
Name:MARKS, BARROW (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARROW
Middle Name:
Last Name:MARKS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14167 73 TERRACE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2333
Mailing Address - Country:US
Mailing Address - Phone:718-268-7273
Mailing Address - Fax:718-575-2041
Practice Address - Street 1:14167 73 TERRACE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2333
Practice Address - Country:US
Practice Address - Phone:718-268-7273
Practice Address - Fax:718-575-2041
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0298251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00302323Medicaid