Individual
MS. BARBARA PRAVATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
528 ELTINGVILLE BLVD, STATEN ISLAND, NY 10312-2110
(718) 948-0307
Mailing address
528 ELTINGVILLE BLVD, STATEN ISLAND, NY 10312-2110
(718) 948-0307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
697156
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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