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

Judah Baruch

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407420417

Judah Baruch is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence UNKNOWN (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence UNKNOWN (NY)

Record details

NPI number1407420417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2021
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021
Mailing address8611 Sancho St, Hollis, NY 11423-1223

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