Individual
EDDY BARASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 629-2470
(516) 629-2027
Mailing address
PO BOX 1056, PORT WASHINGTON, NY 11050-1056
(516) 629-2470
(516) 629-2027
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
224355
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02269372
—
NY
Enumeration date
05/06/2006
Last updated
11/14/2008
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