Provider Demographics
NPI:1912084583
Name:MACBARB, ROBERT S (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:MACBARB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:WATER MILL
Mailing Address - State:NY
Mailing Address - Zip Code:11976-2631
Mailing Address - Country:US
Mailing Address - Phone:631-726-6220
Mailing Address - Fax:631-726-6447
Practice Address - Street 1:1414 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WATER MILL
Practice Address - State:NY
Practice Address - Zip Code:11976-2631
Practice Address - Country:US
Practice Address - Phone:631-726-6220
Practice Address - Fax:631-726-6447
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY880033OtherAETNA
NYP463335OtherOXFORD
NYP463335OtherOXFORD
T52439Medicare UPIN