Doctor Name: | JUDITH ANN BARRY |
NPI Number: | 1124341359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | 250014-1 |
Business Practice Address: | 3 Erin Ln Setauket, NY - 117333461 |
Business Phone Number: | 6319289004 |
Business Fax Number: | |
Mailing Address: | 3 Erin Ln, SETAUKET |
State: | NY |
Postal Code: | 117333461 |
Phone Number: | 6319289004 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2010 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 250014-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |