Provider Demographics
NPI:1972526481
Name:BARSUK, HARRY M (EDD, LMHC, NCC)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:M
Last Name:BARSUK
Suffix:
Gender:M
Credentials:EDD, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3384 W MAIN STREET RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9458
Mailing Address - Country:US
Mailing Address - Phone:716-560-0868
Mailing Address - Fax:
Practice Address - Street 1:3384 W MAIN STREET RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-9458
Practice Address - Country:US
Practice Address - Phone:716-560-0868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YS0200X
NY000928-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool