MEDICARE: DIANA BARTH

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
1	163WH0200X	Home Health Registered Nurse	788866	NY

General Provider Information

NPI Number	:	1225610322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA BARTH

Provider Business Mailing Address
First Line	:	359 GIBSON HILL RD
Second Line	:
City	:	CHESTER
State	:	NY
Zip	:	10918-2321
Country	:	US
Telephone Number	:	845-572-3400
Fax Number	:

Provider Business Practice Location Address
First Line	:	359 GIBSON HILL RD
Second Line	:
City	:	CHESTER
State	:	NY
Zip	:	10918-2321
Country	:	US
Telephone Number	:	845-572-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2021
Last Update Date	:	05/14/2021

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Directions to “ DIANA BARTH ” Practice Location

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