Provider Demographics
NPI:1487943429
Name:BARBATO, VINCENZO AMEDEO (DO)
Entity type:Individual
Prefix:DR
First Name:VINCENZO
Middle Name:AMEDEO
Last Name:BARBATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BORMAN CT
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-1981
Mailing Address - Country:US
Mailing Address - Phone:631-553-0736
Mailing Address - Fax:
Practice Address - Street 1:850 HICKSVILLE RD STE 104
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1300
Practice Address - Country:US
Practice Address - Phone:516-799-6491
Practice Address - Fax:516-798-6390
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281493-1207RC0000X
FLOS 11871207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease