Provider Demographics
NPI:1437374279
Name:J BARBAZAN-SILVA MD PC
Entity Type:Organization
Organization Name:J BARBAZAN-SILVA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBAZAN-SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-828-1200
Mailing Address - Street 1:1111 PARK AVE # 1F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1234
Mailing Address - Country:US
Mailing Address - Phone:212-828-1200
Mailing Address - Fax:212-831-7558
Practice Address - Street 1:1111 PARK AVE # 1F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1234
Practice Address - Country:US
Practice Address - Phone:212-828-1200
Practice Address - Fax:212-831-7558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199851207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty