Provider Demographics
NPI:1043491319
Name:LABARBERA, JAY THOMAS (PT,DPT)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:THOMAS
Last Name:LABARBERA
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 WHITE PLAINS RD
Mailing Address - Street 2:LL
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5500
Mailing Address - Country:US
Mailing Address - Phone:914-771-6200
Mailing Address - Fax:
Practice Address - Street 1:575 WHITE PLAINS RD
Practice Address - Street 2:LL
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5500
Practice Address - Country:US
Practice Address - Phone:914-771-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist