Type not stated
Screen this subjectBARAQUE IVAN DARIO MD
Debarred entityUnited States. Named in 2 sanctions listings.
Sanctions and listings2
- Effective
- 3 Nov 2014
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 Feb 2015
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00161270 |
| NPI number | 1811059967 |
Other names1
Also known as1
BARAQUE, IVAN DARIO
Addresses1
4 WOODCREST COURT, WEST NYACK, NY 10994
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