Healthcare Provider Details

I. General information

NPI: 1053553115
Provider Name (Legal Business Name): BARBARA PITTMAN N.P./L.AC INACTIVE C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2009
Last Update Date: 04/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7TH AVENUE AT 27TH STREET
NEW YORK NY
10001
US

IV. Provider business mailing address

7TH AVENUE AT 27TH STREET BUILDING A 4TH FLOOR FASHION INSTITUTE OF TECHNOLOGY HE
NEW YORK NY
10001
US

V. Phone/Fax

Practice location:
  • Phone: 212-217-4190
  • Fax:
Mailing address:
  • Phone: 212-217-4190
  • Fax: 212-217-4191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000885
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF300280
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: