Provider Demographics
NPI:1184045833
Name:BARACH, YARON (MA, DPT)
Entity Type:Individual
Prefix:DR
First Name:YARON
Middle Name:
Last Name:BARACH
Suffix:
Gender:M
Credentials:MA, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3455
Mailing Address - Country:US
Mailing Address - Phone:646-256-1325
Mailing Address - Fax:
Practice Address - Street 1:3820 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3610
Practice Address - Country:US
Practice Address - Phone:718-435-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-25
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist