Provider Demographics
NPI:1295725257
Name:POMERANTZ, BARRY MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:MICHAEL
Last Name:POMERANTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:140 W END AVE
Mailing Address - Street 2:APT 26B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6131
Mailing Address - Country:US
Mailing Address - Phone:212-247-7546
Mailing Address - Fax:212-265-9010
Practice Address - Street 1:345 W 58TH ST
Practice Address - Street 2:BASEMENT SUITE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1145
Practice Address - Country:US
Practice Address - Phone:212-247-7546
Practice Address - Fax:212-265-9010
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2017-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY146474207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB08174Medicare UPIN
NY16D812Medicare ID - Type Unspecified