Individual
BARBARA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 JEAN AVE, HEMPSTEAD, NY 11550-6302
(516) 476-4955
Mailing address
24 JEAN AVE, HEMPSTEAD, NY 11550-6302
(516) 476-4955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304199
NY
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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