Provider Demographics
NPI:1104146141
Name:BARROCAS, MERAN
Entity type:Individual
Prefix:MRS
First Name:MERAN
Middle Name:
Last Name:BARROCAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 E 66TH ST
Mailing Address - Street 2:36C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6404
Mailing Address - Country:US
Mailing Address - Phone:516-455-1954
Mailing Address - Fax:
Practice Address - Street 1:450 W 56TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3656
Practice Address - Country:US
Practice Address - Phone:212-787-5400
Practice Address - Fax:212-787-0084
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091097235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist