Provider Demographics
NPI:1306160213
Name:BARBALAT, YANINA (MD)
Entity type:Individual
Prefix:
First Name:YANINA
Middle Name:
Last Name:BARBALAT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:75 HERRICK ST STE 219
Mailing Address - Street 2:LAHEY INSTITUE OF UROLOGY
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5900
Mailing Address - Country:US
Mailing Address - Phone:978-927-0714
Mailing Address - Fax:
Practice Address - Street 1:75 HERRICK ST STE 219
Practice Address - Street 2:LAHEY INSTITUE OF UROLOGY
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5900
Practice Address - Country:US
Practice Address - Phone:978-927-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY273398208800000X
MA264826208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology