Provider Demographics
NPI:1679545032
Name:BOCCIA, BARBARA A (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:BOCCIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:45 RESEARCH WAY
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-615-8279
Mailing Address - Fax:631-350-7200
Practice Address - Street 1:2500 NESCONSET HWY
Practice Address - Street 2:BLDG. 11D
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790
Practice Address - Country:US
Practice Address - Phone:631-689-7899
Practice Address - Fax:631-689-7865
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2018-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY126838-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA97528Medicare UPIN
NYA97528Medicare UPIN