Individual
MS. SUSAN BARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 DEAN LANE, STONY BROOK, NY 11790
(631) 730-4310
Mailing address
50 DEAN LANE, STONY BROOK, NY 11790
(631) 730-4310
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
275530-1
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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