Individual
ANTRA BAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST # 122, PROVIDENCE, RI 02903
(401) 444-4515
(401) 444-7018
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD16320
RI
Other
Enumeration date
07/12/2013
Last updated
11/23/2018
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