person
Mary M Barbara, PA
Medical Physician Assistant in Pulaski, New York
NPI 1942378831

Mary M Barbara is a Medical Physician Assistant based in Pulaski, NY and is specialized in Medical. Mary M Barbara practices in Pulaski, NY and has the professional credentials of PA. The NPI Number for Mary M Barbara is 1942378831 and holds a License No. 011647 (New York).

The current practice location address for Mary M Barbara is 61 Delano St, Pulaski, NY and can be reached out via phone at 315-298-6564 and via fax at 315-298-7488.

Location: 61 Delano St, Pulaski, NY, 13142-1400
person
Provider Profile Details
NPI Number
1942378831
Provider Name
Mary M Barbara
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
61 Delano St, Pulaski, NY, 13142-1400
Phone Number
315-298-6564
Fax Number
315-298-7488
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331880 01 FQHC NUMBER
00307662 05 NY
PENDING 05 NY
institution
Provider Business Practice Location Address Details
Address
61 Delano St
City
State
Zip
13142-1400
Phone Number
315-298-6564
Fax Number
315-298-7488
person
Provider Business Mailing Address Details
Address
61 Delano St
City
State
Zip
13142-1400
Phone Number
315-298-6564
Fax Number
315-298-7488
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
011647 (New York)
Definition
Definition to come...
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