Provider Demographics
NPI:1437301942
Name:BARRY SLOAN, D.O.,P.C.
Entity Type:Organization
Organization Name:BARRY SLOAN, D.O.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-525-8422
Mailing Address - Street 1:P.O.BOX 8006
Mailing Address - Street 2:
Mailing Address - City:SADDLEBROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-8006
Mailing Address - Country:US
Mailing Address - Phone:516-432-3031
Mailing Address - Fax:973-842-0901
Practice Address - Street 1:400 ROUTE 211 E
Practice Address - Street 2:SUITE 12
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2122
Practice Address - Country:US
Practice Address - Phone:845-381-1164
Practice Address - Fax:845-381-1807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177709208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty