Provider Demographics
NPI:1487402624
Name:BARRIE, ALHAJI SAMADU
Entity type:Individual
Prefix:
First Name:ALHAJI
Middle Name:SAMADU
Last Name:BARRIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 SOCIETY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-1581
Mailing Address - Country:US
Mailing Address - Phone:201-456-7604
Mailing Address - Fax:
Practice Address - Street 1:10 COUNTY CENTER RD FL 2
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1541
Practice Address - Country:US
Practice Address - Phone:914-995-9378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123157104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker