Organization
GRISELDA M.BARTHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRISELDA MABEL BARTHA M.D. (MEDICAL DOCTOR)
(347) 420-8295
Entity
Organization
Contact information
Practice address
4610 61ST ST, H, WOODSIDE, NY 11377-5766
(347) 420-8295
Mailing address
222 BEACH 122 STR, BELLE HARBOR, NY 11694
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
215392
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150810
—
NY
Enumeration date
08/31/2009
Last updated
08/31/2009
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