Provider Demographics
NPI:1023384492
Name:BARBARA BOYEA
Entity Type:Organization
Organization Name:BARBARA BOYEA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYEA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-922-7836
Mailing Address - Street 1:2163 DEAN STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233
Mailing Address - Country:US
Mailing Address - Phone:718-922-7836
Mailing Address - Fax:718-498-0473
Practice Address - Street 1:2163 DEAN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4003
Practice Address - Country:US
Practice Address - Phone:718-922-7836
Practice Address - Fax:718-498-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY501081-13140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1961ROSEMedicaid