1942495569 NPI number — MS. BARBARA FICALORA MS MPS ATR

Table of content: MS. BARBARA FICALORA MS MPS ATR (NPI 1942495569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942495569 NPI number — MS. BARBARA FICALORA MS MPS ATR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FICALORA
Provider First Name:
BARBARA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS MPS ATR
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:
1942495569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17B LONG LOTS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTPORT
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06880-3826
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-222-1248
Provider Business Mailing Address Fax Number:
203-222-1248

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
71-36 110 ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375-4852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-984-6981
Provider Business Practice Location Address Fax Number:
203-222-1248
Provider Enumeration Date:
09/06/2007

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: 102L00000X , with the licence number:  0004061 , 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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