Healthcare Provider Details

I. General information

NPI: 1588085898
Provider Name (Legal Business Name): BARBARA APP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2014
Last Update Date: 01/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E 78TH ST SUITE 2A
NEW YORK NY
10075-1713
US

IV. Provider business mailing address

10 E 78TH ST SUITE 2A
NEW YORK NY
10075-1713
US

V. Phone/Fax

Practice location:
  • Phone: 917-716-8862
  • Fax:
Mailing address:
  • Phone: 917-716-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number132392-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number160422
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: