Healthcare Provider Details

I. General information

NPI: 1417877432
Provider Name (Legal Business Name): MIASHE BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W 54TH ST STE 804
NEW YORK NY
10019-5562
US

IV. Provider business mailing address

1871 ADAM CLAYTON POWELL JR BLVD APT 4B
NEW YORK NY
10026-2800
US

V. Phone/Fax

Practice location:
  • Phone: 212-884-1010
  • Fax:
Mailing address:
  • Phone: 917-496-9518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: