Doctor Name: | MRS. KARINA BARREDA |
NPI Number: | 1265804322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 33337885 |
Business Practice Address: | 3244 E Main St Mohegan Lake, NY - 105471535 |
Business Phone Number: | 8457727344 |
Business Fax Number: | |
Mailing Address: | 16 Dingle Ridge Rd, BREWSTER |
State: | NY |
Postal Code: | 105095400 |
Phone Number: | 8457051096 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2015 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 33337885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |