Provider Demographics
NPI:1497754949
Name:STRAUSS, BARRY LESLIE (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:LESLIE
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 MEETING HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5051
Mailing Address - Country:US
Mailing Address - Phone:631-283-6611
Mailing Address - Fax:631-283-6316
Practice Address - Street 1:353 MEETING HOUSE LN
Practice Address - Street 2:
Practice Address - City:SOUTH HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5051
Practice Address - Country:US
Practice Address - Phone:631-283-6611
Practice Address - Fax:631-283-6316
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116994207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY344101OtherEMPIRE BC/BS
NY344101OtherEMPIRE BC/BS
NY344101Medicare ID - Type Unspecified