Individual
HADIATOU BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 E 14TH ST STE 2, BROOKLYN, NY 11230-7148
(347) 541-6241
Mailing address
1502 E 14TH ST STE 2, BROOKLYN, NY 11230-7148
(347) 541-6241
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
S08890543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222222
111111
—
Enumeration date
01/23/2018
Last updated
10/11/2019
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