National Provider Identifier
Ethan Benjamin Barkin
Ethan Benjamin Barkin is listed in the NPPES registry with a primary specialty of Periodontics in Rochester, NY and a listed phone number of (585) 275-5051.
Profile Overview
- NPI
- 1013651868
- Provider Type
- Individual
- Primary Specialty
- Periodontics
- Enumeration Date
- April 26, 2022
- Last Updated
- August 04, 2025
Practice Location
- 625 Elmwood Ave # 683
- Rochester, NY 14620-2913
Phone: (585) 275-5051
Mailing Address
- 2500 East Ave Apt 3R
- Rochester, NY 14610-3139
Specialties
- Periodontics (1223P0300X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1013651868
- Entity Type
- Individual
- Last Name
- Barkin
- First Name
- Ethan
- Middle Name
- Benjamin
- Mailing Street Address
- 2500 East Ave Apt 3R
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14610-3139
- Mailing Country
- US
- Mailing Phone
- (631) 356-5129
- Practice Street Address
- 625 Elmwood Ave # 683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- April 26, 2022
- Last Updated
- August 04, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Periodontics (1223P0300X), Student in an Organized Health Care Education/Training Program (390200000X)