Provider Demographics
NPI:1972813640
Name:BARBARO, JOANN (LPN)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:BARBARO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JOANN
Other - Middle Name:
Other - Last Name:STURM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:324 CORNWALL MEADOWS
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:NY
Mailing Address - Zip Code:12563
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 CLOCKTOWER COMMONS
Practice Address - Street 2:ROUTE 22
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509
Practice Address - Country:US
Practice Address - Phone:845-279-5187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238734-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse