Individual
ELEANOR BARBERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3420 79TH ST, APT 3A, JACKSON HEIGHTS, NY 11372-2601
(212) 851-8100
(889) 772-5478
Mailing address
3420 79TH ST, #3A, JACKSON HEIGHTS, NY 11372-2607
(646) 322-2885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01653185
—
NY
01
—
02856
GHI MEDICARE
NY
Enumeration date
07/26/2006
Last updated
02/18/2022
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