Provider Demographics
NPI:1376782748
Name:JURIM, BARBARA B (DDS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:B
Last Name:JURIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E 30TH ST
Mailing Address - Street 2:APT 3G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8295
Mailing Address - Country:US
Mailing Address - Phone:516-677-9010
Mailing Address - Fax:516-677-9011
Practice Address - Street 1:7952 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1204
Practice Address - Country:US
Practice Address - Phone:516-677-9010
Practice Address - Fax:516-677-9011
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0521381223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics