Individual
MS. MADELINE BARRIENTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 LARCH AVE, BOGOTA, NJ 07603-1067
(201) 488-7185
Mailing address
1000 W FORT LEE RD APT 1201, BOGOTA, NJ 07603-1542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
900B
NY
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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