Individual
YAHAMA BARAHONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 543-0777
Mailing address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 543-0777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
02/04/2008
Last updated
04/06/2011
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