Provider Demographics
NPI:1942394770
Name:BARKOFF, STEVEN LAWRENCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LAWRENCE
Last Name:BARKOFF
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 1:34 S OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1935
Mailing Address - Country:US
Mailing Address - Phone:718-599-0505
Mailing Address - Fax:718-599-7079
Practice Address - Street 1:231 S 3RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-5601
Practice Address - Country:US
Practice Address - Phone:718-599-0505
Practice Address - Fax:718-599-7079
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004535213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01175502Medicaid
NY01175502Medicaid
NYP50273Medicare ID - Type Unspecified
NYT93369Medicare UPIN