Individual
MARY C BARBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 01089-1598
(413) 592-1980
(413) 439-0096
Mailing address
50 STOW ST, WALTHAM, MA 02453-1613
(508) 790-1925
(508) 790-1925
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
150905
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN150905
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-00774
EVERCARE
MA
01
—
890000431
RAIL ROAD MEDICARE
MA
Enumeration date
07/07/2006
Last updated
07/15/2014
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