Individual
DR. FREDERICK MITCHELL BARKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 N TRIPHAMMER RD, STE 302, ITHACA, NY 14850-1075
(607) 257-1126
(607) 257-0955
Mailing address
2333 N TRIPHAMMER RD, STE 302, ITHACA, NY 14850-1075
(607) 257-1126
(607) 257-0955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157087
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00091661001
HEALTH NOW
—
05
—
00829070
—
NY
01
—
4305837
AETNA
—
Enumeration date
10/27/2006
Last updated
07/08/2007
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