Provider Demographics
NPI:1134187131
Name:PARIS, BARBARA ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELAINE
Last Name:PARIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:ELAINE
Other - Last Name:CAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4802 TENTH AVENUE
Mailing Address - Street 2:MALMONIDES HOSPITAL DEPARTMENT OF MEDICINE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219
Mailing Address - Country:US
Mailing Address - Phone:718-283-7071
Mailing Address - Fax:718-635-6417
Practice Address - Street 1:4802 TENTH AVENUE
Practice Address - Street 2:MALMONIDES HOSPITAL DEPARTMENT OF MEDICINE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219
Practice Address - Country:US
Practice Address - Phone:718-283-7071
Practice Address - Fax:718-635-6417
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138186207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01408295Medicaid
NS3592OtherOXFORD
NS3592OtherOXFORD
B79418Medicare UPIN