Individual
MS. CANDICE BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 CORNFLOWER LN, EAST NORTHPORT, NY 11731-4723
(631) 774-0732
Mailing address
81 CORNFLOWER LN, EAST NORTHPORT, NY 11731-4723
(631) 774-0732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
241743-1
NY
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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