Individual provider · NPI-1

Dr. Nicholas Jacob Barasch, M.D.

Pathology, Hematology · New York, NY

NPI number1760931992

StatusActive

Last updated in NPPESOct 25, 2024

Details

NPI: 1760931992
Entity type: Individual (NPI-1)
Name: Dr. Nicholas Jacob Barasch
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Sep 29, 2016
Certification date: Oct 25, 2024
Last updated: Oct 25, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZH0000X	Pathology, Hematology	309464	NY	Yes
390200000X	Student in an Organized Health Care Education/Training Program	MT209463	PA
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	309464	NY

Practice location

1275 York Ave
New York, NY 10065-6007

Phone 212-639-7456

Mailing address

1275 York Ave
New York, NY 10065-6007

Phone 212-639-7456

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