Provider Demographics
NPI:1548399629
Name:SAVERIO BARBERA, M.D.
Entity Type:Organization
Organization Name:SAVERIO BARBERA, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAVERIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-629-2081
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-0192
Mailing Address - Country:US
Mailing Address - Phone:516-629-2081
Mailing Address - Fax:516-629-2027
Practice Address - Street 1:48 ROUTE 25A
Practice Address - Street 2:SUITE 103
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1431
Practice Address - Country:US
Practice Address - Phone:516-629-2081
Practice Address - Fax:516-629-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWCW941Medicare ID - Type Unspecified