Individual
MRS. CORINNE PATRICIA BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4022 192ND ST APT 3, FLUSHING, NY 11358-2925
(516) 661-4631
Mailing address
4022 192ND ST APT 3, FLUSHING, NY 11358-2925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
457270101
NY
174400000X
Specialist
598768121
NY
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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