Healthcare Provider Details

I. General information

NPI: 1174054654
Provider Name (Legal Business Name): SUKRIYE DAMLA KARA BARNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2017
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 NORTHERN BLVD STE 150
GREAT NECK NY
11021-5207
US

IV. Provider business mailing address

611 NORTHERN BLVD STE 150
GREAT NECK NY
11021-5207
US

V. Phone/Fax

Practice location:
  • Phone: 516-325-7000
  • Fax: 516-325-7001
Mailing address:
  • Phone: 516-325-7000
  • Fax: 516-325-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number28882
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number338955
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: