Individual
JILL BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 VILLAGE CIR N, ROUND LAKE, NY 12151-1720
(518) 487-1274
Mailing address
53 VILLAGE CIR N, ROUND LAKE, NY 12151-1720
(518) 487-1274
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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