Individual
CAROL JEAN BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6021 STATEFARM RD, GUILDERLAND, NY 12084
(518) 456-6525
Mailing address
21 GLENBROOK DR, CLIFTON PARK, NY 12065-1908
(518) 373-2088
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
191910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191910-1
LPN
NY
Enumeration date
08/20/2008
Last updated
09/09/2008
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