Provider Demographics
NPI:1508936758
Name:ERBER, BARRY K (DPM)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:K
Last Name:ERBER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14301 ROCKAWAY BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:NEPONSIT
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1138
Mailing Address - Country:US
Mailing Address - Phone:718-934-7264
Mailing Address - Fax:
Practice Address - Street 1:500 BRIGHTWATER CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7154
Practice Address - Country:US
Practice Address - Phone:718-934-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN02600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T50836Medicare UPIN
P2987100Medicare ID - Type Unspecified