Individual
DR. JESSICA BARENBOIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 NORTHERN BLVD STE 324-1281, ALBANY, NY 12204-1000
(646) 450-7645
(646) 450-7645
Mailing address
350 NORTHERN BLVD STE 324-1281, ALBANY, NY 12204-1000
(646) 450-7645
(646) 450-7645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
307677
NY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
307677
NY
208D00000X
General Practice Physician
307677
NY
390200000X
Student in an Organized Health Care Education/Training Program
MD19981
—
Other
Enumeration date
03/25/2016
Last updated
04/10/2026
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