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NPI Code Detail

MEDICARE: DR. FAITH N. BARRENTINE PH.D.

MEDICARE:  DR. FAITH N. BARRENTINE  PH.D.
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
1103TC0700XClinical Psychologist128733NY

General Provider Information

NPI Number : 1326193798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAITH N. BARRENTINE PH.D.
Provider Business Mailing Address
First Line : 28 N COUNTRY RD
Second Line : SUITE 101
City : MOUNT SINAI
State : NY
Zip : 11766-1518
Country : US
Telephone Number : 631-928-4506
Fax Number : 631-828-6106
Provider Business Practice Location Address
First Line : 28 N COUNTRY RD
Second Line : SUITE 101
City : MOUNT SINAI
State : NY
Zip : 11766-1518
Country : US
Telephone Number : 631-928-4506
Fax Number : 631-828-6106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ DR. FAITH N. BARRENTINE PH.D.” Practice Location

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