1679961486 NPI number — DR. BARBARA DELMORE PHD RN CWCN

Table of content: DR. BARBARA DELMORE PHD RN CWCN (NPI 1679961486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679961486 NPI number — DR. BARBARA DELMORE PHD RN CWCN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DELMORE
Provider First Name:
BARBARA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD RN CWCN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679961486
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/31/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
545 1ST AVE
Provider Second Line Business Mailing Address:
GREENBERG HALL SC1 ROOM 160
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-6401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-263-0828
Provider Business Mailing Address Fax Number:
212-263-0826

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
545 1ST AVE
Provider Second Line Business Practice Location Address:
GREENBERG HALL SC1 ROOM 160
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-6401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-0828
Provider Business Practice Location Address Fax Number:
212-263-0826
Provider Enumeration Date:
12/31/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WW0000X , with the licence number:  354076 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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