Basic Information
| Provider Information | |||||||||
| NPI: | 1003017237 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARBASH | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 KENNETH RD | ||||||||
| Address2: | |||||||||
| City: | HARTSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105302921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146935803 | ||||||||
| FaxNumber: | 9146744368 | ||||||||
| Practice Location | |||||||||
| Address1: | 2600 NETHERLAND AVE | ||||||||
| Address2: | SUITE 116 | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104634801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186019161 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TS0200X | 009496 | NY | Y | Behavioral Health & Social Service Providers | Psychologist | School |
ID Information
| ID | Type | State | Issuer | Description | 01734156 | 05 | NY | MEDICAID |