Provider Demographics
NPI:1174853808
Name:SLOMA, BARBARA E (PA-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:SLOMA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 LITTLE BRITAIN RD
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-5518
Mailing Address - Country:US
Mailing Address - Phone:845-446-1100
Mailing Address - Fax:845-446-4581
Practice Address - Street 1:831 LITTLE BRITAIN RD
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-5518
Practice Address - Country:US
Practice Address - Phone:845-446-1100
Practice Address - Fax:845-446-4581
Is Sole Proprietor?:No
Enumeration Date:2009-12-31
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013261363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1085781OtherNCCPA CERT#
NYA400124015OtherQSNY MCARE PTAN
NYA400124065OtherQSNY2 MCARE PTAN