Healthcare Provider Details

I. General information

NPI: 1558637967
Provider Name (Legal Business Name): EUGENE EUNICE FOSTER-BARRETT BSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 03/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 WEBSTER AVE
BRONX NY
10467-4901
US

IV. Provider business mailing address

3311 GUNTHER AVE
BRONX NY
10469-2727
US

V. Phone/Fax

Practice location:
  • Phone: 718-405-5916
  • Fax:
Mailing address:
  • Phone: 718-405-5916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number411822-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number411822-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: