Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Benjamin Barkin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013651868

Ethan Benjamin Barkin is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

625 Elmwood Ave # 683
Rochester, NY 14620-2913
Phone: (585) 275-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2081 W Ridge Rd, Rochester, NY 14626 — (585) 326-9961

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 064638 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013651868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

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