Provider Demographics
NPI:1245617703
Name:BARTEE, HERMINE M (MTBC, AVPT, CTRS-BE)
Entity Type:Individual
Prefix:MS
First Name:HERMINE
Middle Name:M
Last Name:BARTEE
Suffix:
Gender:F
Credentials:MTBC, AVPT, CTRS-BE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1516
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-1516
Mailing Address - Country:US
Mailing Address - Phone:646-345-0822
Mailing Address - Fax:
Practice Address - Street 1:419 NORTH 11TH STREET 2R
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-1803
Practice Address - Country:US
Practice Address - Phone:646-345-0822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist