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Individual

MRS. AUDREY BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
207 ICELAND DR, HUNTINGTON STATION, NY 11746-4209
(631) 897-8575
Mailing address
207 ICELAND DR, HUNTINGTON STATION, NY 11746-4209
(631) 897-8575

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY

Other

Enumeration date
10/24/2024
Last updated
11/18/2024
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