Provider Demographics
NPI:1497755987
Name:TRAININ, EUGENE BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:BARRY
Last Name:TRAININ
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 1:1909 QUENTIN RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2370
Mailing Address - Country:US
Mailing Address - Phone:718-626-1999
Mailing Address - Fax:718-627-8852
Practice Address - Street 1:1909 QUENTIN RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2370
Practice Address - Country:US
Practice Address - Phone:718-626-1999
Practice Address - Fax:718-627-8852
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109325174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00193857Medicaid
NY00193857Medicaid