| Doctor Name: | MS. BARBARA ANN DE FEO |
| NPI Number: | 1154441004 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN NPP |
| License Number: | F4008981 |
| Business Practice Address: | 107 West Main St. East Islip, NY - 11742 |
| Business Phone Number: | 6316661615 |
| Business Fax Number: | 6316661719 |
| Mailing Address: | 107 W Main St, EAST ISLIP |
| State: | NY |
| Postal Code: | 117302337 |
| Phone Number: | 6316661615 |
| Fax Number: | 6316661719 |
| NPI Enumeration Date: | 03/31/2007 |
| NPI Last Update Date: | 08/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F4008981 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |