Individual
MRS. BARBARA JEAN REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS EX.ED.
Contact information
Practice address
205 CARPENTER AVE, BUFFALO, NY 14223-1808
(716) 832-6014
Mailing address
205 CARPENTER AVE, BUFFALO, NY 14223-1808
(716) 832-6014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
658813951
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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