Organization
ABARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AN BARNES (PRINCIPAL)
(609) 621-7484
Entity
Organization
Contact information
Practice address
12074 168TH ST, JAMAICA, NY 11434-2503
(609) 621-7484
Mailing address
12074 168TH ST, JAMAICA, NY 11434-2503
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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