Healthcare Provider Details

I. General information

NPI: 1083738504
Provider Name (Legal Business Name): MRS. BARBARA JEANNE DOWNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 GOLDEN HILL LN
KINGSTON NY
12401-6441
US

IV. Provider business mailing address

83 LAUREN TICE RD
SAUGERTIES NY
12477-4112
US

V. Phone/Fax

Practice location:
  • Phone: 845-340-4153
  • Fax: 845-340-4094
Mailing address:
  • Phone: 845-246-4122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: