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NPI Code Detail

MEDICARE: ELIZABETH BARRY NP

MEDICARE: ELIZABETH BARRY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF400800NY

General Provider Information

NPI Number : 1043334394
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BARRY NP
Provider Business Mailing Address
First Line : 790 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4516
Country : US
Telephone Number : 631-427-3700
Fax Number : 631-427-0287
Provider Business Practice Location Address
First Line : 790 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4516
Country : US
Telephone Number : 631-427-3700
Fax Number : 631-427-0287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 03/03/2017

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