Individual
DR. JESSICA BAREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 E 14TH ST, NEW YORK, NY 10003-4201
(800) 778-6005
(800) 778-6015
Mailing address
PO BOX 352, CHAPPAQUA, NY 10514-0352
(800) 778-6005
(800) 778-6015
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
194303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01629029
—
NY
Enumeration date
07/10/2006
Last updated
12/12/2016
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