Individual
JAY M BARBAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 NORTH COUNTRY RD, SUITE 203, PORT JEFFERSON, NY 11777
(631) 928-3444
(877) 434-7939
Mailing address
60 NORTH COUNTRY RD, SUITE 203, PORT JEFFERSON, NY 11777
(631) 928-3444
(877) 434-7939
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
165292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011228990
—
NY
01
—
22F45EC831
MEDICARE OTHER PIN
NY
Enumeration date
11/02/2006
Last updated
04/18/2013
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