Provider Demographics
NPI:1336205863
Name:BARILE, ANDREW LUKE (PT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:LUKE
Last Name:BARILE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 EAST 23RD STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW Y ORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-683-4288
Mailing Address - Fax:212-686-0905
Practice Address - Street 1:220 E 23RD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4606
Practice Address - Country:US
Practice Address - Phone:212-683-4288
Practice Address - Fax:212-686-0905
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0206512251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQT0501Medicare ID - Type Unspecified