Individual
MRS. BERNADETTE BARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 CRESTHILL PL, SMITHTOWN, NY 11787-3703
(631) 764-7133
(631) 242-4108
Mailing address
939 JOHNSON AVE, RONKONKOMA, NY 11779-6066
(631) 471-7242
(631) 471-5150
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401368-1
NY
Other
Enumeration date
03/09/2011
Last updated
10/04/2011
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