Provider Demographics
NPI:1689661001
Name:BARBARO, THOMAS (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:BARBARO
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 1:706 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4513
Mailing Address - Country:US
Mailing Address - Phone:516-326-7979
Mailing Address - Fax:516-437-8588
Practice Address - Street 1:706 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4513
Practice Address - Country:US
Practice Address - Phone:516-326-7979
Practice Address - Fax:516-437-8588
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004360213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2382412OtherAETNA
NY1C1559OtherPHS
NY27-02096OtherUHC MEDICAID
NYP403397OtherOXFORD
NY42721OtherVYTRA
NY01114507Medicaid
NY040426008422OtherFIDELIS
NY46555OtherMDNY
NY7232785OtherCIGNA
NYP043605OtherWCOMP
NY15473AOtherGHI MEDICARE
NYP043605OtherWCOMP
NY42721OtherVYTRA