Individual provider · NPI-1

Dr. Jessica Barenboim, M.D.

Preventive Medicine, Addiction Medicine · Albany, NY

NPI number1750743092

StatusActive

Last updated in NPPESApr 10, 2026

Details

NPI: 1750743092
Entity type: Individual (NPI-1)
Name: Dr. Jessica Barenboim
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Mar 25, 2016
Certification date: Apr 10, 2026
Last updated: Apr 10, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2083A0300X	Preventive Medicine, Addiction Medicine	307677	NY	Yes
207QA0401X	Family Medicine, Addiction Medicine	307677	NY
390200000X	Student in an Organized Health Care Education/Training Program	MD19981	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
208D00000X	General Practice	307677	NY

Practice location

350 Northern Blvd Ste 324-1281
Albany, NY 12204-1000

Phone 646-450-7645 · Fax 646-450-7645

Mailing address

350 Northern Blvd Ste 324-1281
Albany, NY 12204-1000

Phone 646-450-7645 · Fax 646-450-7645

Other practice locations

2 Park Ave
Yonkers, NY 10703-3402

Phone 914-964-7300

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