Provider Demographics
NPI:1306937123
Name:PRINCIPIO, BARBARA E (NP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:E
Last Name:PRINCIPIO
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:3001 EXPRESSWAY DRIVE NORTH
Mailing Address - Street 2:SUITE #116
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749
Mailing Address - Country:US
Mailing Address - Phone:631-292-6747
Mailing Address - Fax:631-292-6767
Practice Address - Street 1:3001 EXPRESSWAY DRIVE NORTH
Practice Address - Street 2:SUITE #116
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749
Practice Address - Country:US
Practice Address - Phone:631-292-6747
Practice Address - Fax:631-292-6767
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF334066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMP0980373OtherDEA NUMBER