Provider Demographics
NPI:1487811162
Name:LABARBERA, JACLIN M (MD)
Entity type:Individual
Prefix:DR
First Name:JACLIN
Middle Name:M
Last Name:LABARBERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JACLIN
Other - Middle Name:M
Other - Last Name:SPRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1935 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-3392
Mailing Address - Country:US
Mailing Address - Phone:541-506-6520
Mailing Address - Fax:
Practice Address - Street 1:889 E MAIN ST STE 308
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2681
Practice Address - Country:US
Practice Address - Phone:631-386-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247450208000000X, 2080P0203X
OR188767208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine