Provider Demographics
NPI:1154502821
Name:BARTLIK, BARBARA D (MD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:D
Last Name:BARTLIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:55 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-787-2180
Mailing Address - Fax:212-721-4598
Practice Address - Street 1:55 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-787-2180
Practice Address - Fax:212-721-4598
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY15420212084P0800X
NY154202-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY63D231Medicare PIN