Individual
DR. JONATHAN EDWARD BARSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1375 WASHINGTON AVE STE 101, ALBANY, NY 12206
(518) 438-4483
(518) 482-4201
Mailing address
1375 WASHINGTON AVE STE 101, ALBANY, NY 12206-1056
(518) 438-4483
(518) 482-4201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270618
NY
207RG0100X
Gastroenterology Physician
Primary
270618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03972314
—
NY
Enumeration date
03/19/2011
Last updated
06/20/2018
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