Provider Demographics
NPI:1871760322
Name:STROH, BARRY
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:STROH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3915
Mailing Address - Country:US
Mailing Address - Phone:718-522-1070
Mailing Address - Fax:718-633-1094
Practice Address - Street 1:684 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-3915
Practice Address - Country:US
Practice Address - Phone:718-633-1094
Practice Address - Fax:718-633-1094
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC003719-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician