Provider Demographics
NPI:1649332818
Name:DUBLIN, BARRY A (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:A
Last Name:DUBLIN
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 1:8008 FLATLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3534
Mailing Address - Country:US
Mailing Address - Phone:718-676-6082
Mailing Address - Fax:718-676-6085
Practice Address - Street 1:8008 FLATLANDS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3534
Practice Address - Country:US
Practice Address - Phone:718-676-6082
Practice Address - Fax:718-676-6085
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY48L061Medicare PIN
NY607051Medicare UPIN