Healthcare Provider Details

I. General information

NPI: 1508774662
Provider Name (Legal Business Name): BARBARA COLINE SMALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 OLD COUNTRY RD STE 365
WESTBURY NY
11590-4502
US

IV. Provider business mailing address

34 1ST AVE
WESTBURY NY
11590-2505
US

V. Phone/Fax

Practice location:
  • Phone: 914-458-2840
  • Fax:
Mailing address:
  • Phone: 914-458-2840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: