Individual
ETHAN BENJAMIN BARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 ELMWOOD AVE # 683, ROCHESTER, NY 14620-2913
(585) 275-5051
Mailing address
2500 EAST AVE APT 3R, ROCHESTER, NY 14610-3139
(631) 356-5129
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
064638
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2022
Last updated
08/04/2025
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