Provider Demographics
NPI:1841467818
Name:ELBERGER, BARBARA J (NP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:ELBERGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 BULSON RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1202
Mailing Address - Country:US
Mailing Address - Phone:516-766-6080
Mailing Address - Fax:516-502-9769
Practice Address - Street 1:135 BULSON RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1202
Practice Address - Country:US
Practice Address - Phone:516-766-6080
Practice Address - Fax:516-502-9769
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY400568363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health