Provider Demographics
NPI:1932521523
Name:ROSS, BARBARA ELLEN
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELLEN
Last Name:ROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:ELLEN
Other - Last Name:ROSENFELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPECIAL ED
Mailing Address - Street 1:37 NEEDLE LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4813
Mailing Address - Country:US
Mailing Address - Phone:516-445-6500
Mailing Address - Fax:516-579-9656
Practice Address - Street 1:37 NEEDLE LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-4813
Practice Address - Country:US
Practice Address - Phone:516-445-6500
Practice Address - Fax:516-579-9656
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator