Individual
DR. BARRY FOMBERSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9168
(718) 920-9036
Mailing address
600 EAST 233RD STREET, MONTEFIORE MEDICAL CENTER - NORTH DIVISION, BRONX, NY 10466-2604
(718) 920-9168
(718) 920-9036
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
131884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00995744
—
NY
Enumeration date
01/12/2007
Last updated
11/02/2011
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