Provider Demographics
NPI:1609223684
Name:LABARBERA, VINCENT A (MD)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:A
Last Name:LABARBERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ELM ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4626
Mailing Address - Country:US
Mailing Address - Phone:401-443-5122
Mailing Address - Fax:401-537-7241
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:APC-5
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-3032
Practice Address - Fax:401-444-3205
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD170952084N0400X, 2084N0400X
RILP036732084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1609223684Medicaid
MA110215401AMedicaid