Healthcare Provider Details

I. General information

NPI: 1316632458
Provider Name (Legal Business Name): BARBARA SALES BENICIO ALKMIM DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 EAST 17TH STREET BAIRD HALL 15TH FLOOR
NEW YORK NY
10003
US

IV. Provider business mailing address

350 EAST 17TH STREET BAIRD HALL 15TH FLOOR
NEW YORK NY
10003
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-2297
  • Fax:
Mailing address:
  • Phone: 212-420-2297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: