Barry, Patricia Ellen

Barry, Patricia Ellen is an individual health care provider with primary practice located at 12 Kimberly Drive , East Northport NY 11731. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Barry, Patricia Ellen can be contacted via phone (631) 368-7286.

Contact Information

Primary practice address
12 Kimberly Drive East Northport NY 11731
Phone: (631) 368-7286
Fax: (631) 980-3539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 532293 New York

Profile Details

NPI number 1124214515
LBN Legal business name Barry, Patricia Ellen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124214515 NPPES
New York MEDICAID 02352050

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