BARRY HERTZL HABIB (NPI# 1275772899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275772899 |
| Entity Type | Individual |
| Full Name | BARRY HERTZL HABIB |
| Credential | DMD |
| Practice Address |
1035 Park Blvd Suite 1d Massapequa Park NY 11762-2743 |
| Practice Telephone | 5167971300 |
| Practice Fax Number | 5167977522 |
| Mailing Telephone | 5167971300 |
| Mailing Fax Number | 5167977522 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
050400 | NY | Dental Providers |
| Street Address |
1035 PARK BLVD SUITE 1D |
| City | MASSAPEQUA PARK |
| State | NY |
| Zip Code | 11762-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848452 | Angelo Ralph Chiarenza | Dentist | 1035 Park Blvd, Massapequa Park, NY 11762-2743 | 2005-06-01 |
| 1780118620 | Reliance Home Senior Services | Alzheimer Center (Dementia Center) | 1035 Park Blvd, Massapequa Park, NY 11762-2743 | 2017-04-18 |
| 1205298551 | Psb | Home Health | 1035 Park Blvd, 2c, Massapequa Park, NY 11762-2743 | 2016-03-25 |
| 1821387747 | Sleep Disorder Center P.C. | Clinic/Center | 1035 Park Blvd, Suite 1b, Massapequa Park, NY 11762-2743 | 2011-03-31 |
| 1891020947 | Neurorehabilitation and Neuropsycholical Services P.C. | Clinical Neuropsychologist | 1035 Park Blvd, Suite 2b, Massapequa Park, NY 11762-2743 | 2009-10-07 |
| 1205017712 | Sherri Hughes | Speech-Language Pathologist | 1035 Park Blvd, Suite 2e, Massapequa Park, NY 11762-2743 | 2007-11-27 |
| 1649469594 | Jeffrey D Felicetti | Dentist | 1035 Park Blvd, Suite 2-d, Massapequa Park, NY 11762-2743 | 2007-10-16 |
| 1154537314 | Dawn Marie Felicetti | Dentist | 1035 Park Blvd, Suite 1-a, Massapequa Park, NY 11762 | 2007-05-15 |
| 1861407355 | Bernardita T. Lazo | Specialist | 1035 Park Blvd, Massapequa Park, NY 11762-2743 | 2006-07-31 |
| 1851305445 | Robert Alan Coben | Clinical Neuropsychologist | 1035 Park Blvd, Suite 2b, Massapequa Park, NY 11762 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280374 | Rachel Eljashev | Ophthalmology | 115 Charles Ave, Massapequa Park, NY 11762 | 2018-10-01 |
| 1366937567 | Samantha Marie Larosa | Social Worker | 652 Willoughby Avenue, Bushwick, NY 11762 | 2018-06-29 |
| 1023532447 | Hugo H Lopez | Counselor | 4770 Sunrise Highway, Massapequa Park, NY 11762 | 2017-07-27 |
| 1891155735 | Kayla Marie Vanguilder | Counselor | 208 Grover Ave W, Massapequa Park, NY 11762 | 2016-03-04 |
| 1093191009 | Mary Margaret Zeller | Case Management | 7 Townhouse Dr, Massapequa Park, NY 11762 | 2015-08-03 |
| 1114323250 | Kristen Price | Occupational Therapist | 21 Herbert Ave, Massapequa Park, NY 11762 | 2014-11-18 |
| 1871902296 | Suzanna Lynn Diaquoi | Registered Nurse | 24 Brendan Avenue, Massapequa Park, NY 11762 | 2014-08-11 |
| 1649605338 | Stacey Leo | Behavioral Analyst | 190 S Park Dr, Massapequa Park, NY 11762 | 2013-09-12 |
| 1255685459 | Jennifer M Salorio | Speech-Language Pathologist | 29 Westwood Rd S, Massapequa Park, NY 11762 | 2012-11-09 |
| 1962759803 | Erica Lori Brown | Specialist | 145 Eastgate Road, Massapequa Park, NY 11762 | 2012-08-09 |
| Find all providers in zip 11762 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382143 | Weon Jae Choi | Dentist | 22 N 6th St Apt 9o, Brooklyn, NY 11249-3083 | 2020-09-29 |
| 1053927624 | Victor Yin Yu Lee | Dentist | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 |
| 1972111441 | Lex Prosthodontics, Pllc | Dentist | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 |
| 1437767936 | Gramercy Prosthodontics, Pllc | Dentist | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1346707916 | 5d Dental Pllc | Dentist | 150 Irving Place, Woodmere, NY 11598 | 2019-03-01 |
| 1699274829 | Westchester Dental Design, PC | Dentist | 1915 Central Park Ave Ste 201, Yonkers, NY 10710-2949 | 2018-02-02 |
| 1073031506 | Rhugielyn Mangaoang | Dentist | 51 W 51st St Ste 350, New York, NY 10019 | 2017-09-05 |
| 1811412174 | Allen & Schwarz Dental Pllc | Dentist | 30 Central Park S Rm 10b, New York, NY 10019-1628 | 2017-08-08 |
| 1407393424 | Thomas Fuschetto | Dentist | 33 Cedar St Ste 1, Rye, NY 10580-2031 | 2017-01-28 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA PARK |
| Zip Code | 11762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.