Provider Demographics
NPI:1093199317
Name:NIRENBERG, BARBARA SHARON
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SHARON
Last Name:NIRENBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:SHARON
Other - Last Name:NIRENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:445 NEPTUNE AVENUE
Mailing Address - Street 2:APT 6A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224
Mailing Address - Country:US
Mailing Address - Phone:718-825-5877
Mailing Address - Fax:
Practice Address - Street 1:445 NEPTUNE AVE
Practice Address - Street 2:APT 6A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4561
Practice Address - Country:US
Practice Address - Phone:718-825-5877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist