Individual
DION J BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15916 UNION TPKE, FRESH MEADOWS, NY 11366-1954
(929) 500-4389
Mailing address
16634A 137TH AVE, JAMAICA, NY 11434-4516
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
1528629211
NY
Other
Enumeration date
06/12/2023
Last updated
12/19/2023
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