Individual
MATTHEW ADAM BARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(718) 830-4000
Mailing address
19A LONE OAK DR, CENTERPORT, NY 11721-1425
(617) 840-4844
(617) 404-9375
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
243049-1
NY
2085R0202X
Diagnostic Radiology Physician
77057
MA
2085R0202X
Diagnostic Radiology Physician
G88066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3165701
—
MA
01
—
77057
TUFTS HEALTH CARE
MA
01
—
AA7365
HARVARD PILGRIM
MA
01
—
J17676
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/20/2005
Last updated
07/08/2025
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