Provider Demographics
NPI:1861854705
Name:BARRIE, PAUL GORDON (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:GORDON
Last Name:BARRIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5414
Mailing Address - Country:US
Mailing Address - Phone:845-784-4131
Mailing Address - Fax:845-787-4211
Practice Address - Street 1:244 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5414
Practice Address - Country:US
Practice Address - Phone:845-784-4131
Practice Address - Fax:845-787-4211
Is Sole Proprietor?:No
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009157111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician