Provider Demographics
NPI:1588915656
Name:BARBATO, JUSTINE VERONICA (RN)
Entity type:Individual
Prefix:MS
First Name:JUSTINE
Middle Name:VERONICA
Last Name:BARBATO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 HEMLOCK DR
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-2905
Mailing Address - Country:US
Mailing Address - Phone:631-434-2451
Mailing Address - Fax:631-434-2191
Practice Address - Street 1:19 HEMLOCK DR
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-2905
Practice Address - Country:US
Practice Address - Phone:631-434-2451
Practice Address - Fax:631-434-2191
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY483658-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool