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Individual

DR. EVAN BARBAKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
34 BARNSLEY CRES, MOUNT SINAI, NY 11766-2802
(631) 331-8898
Mailing address
1644 DEER PARK AVE, DEER PARK, NY 11729-5211
(631) 586-7100
(631) 586-5476

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043888
NY

Other

Enumeration date
01/08/2008
Last updated
01/08/2008
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