Provider Demographics
NPI:1952490096
Name:BARBERA, RALPH A (DC)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:A
Last Name:BARBERA
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 1:1 STONE PL
Mailing Address - Street 2:SUITE 304
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3426
Mailing Address - Country:US
Mailing Address - Phone:914-337-7390
Mailing Address - Fax:914-337-7493
Practice Address - Street 1:1 STONE PL
Practice Address - Street 2:SUITE 304
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3426
Practice Address - Country:US
Practice Address - Phone:914-337-7390
Practice Address - Fax:914-337-7493
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3717111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor