Individual
BARBARA KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 PEQUOT LN, EAST ISLIP, NY 11730-2713
(631) 650-5438
Mailing address
42 PEQUOT LN, EAST ISLIP, NY 11730-2713
(631) 650-5438
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
314697-1
NY
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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