Provider Demographics
NPI:1306193511
Name:CUNNINGHAM, BARBARA ANN (CTR)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:CTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 JOHNSON CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14105-9786
Mailing Address - Country:US
Mailing Address - Phone:716-735-3529
Mailing Address - Fax:
Practice Address - Street 1:3021 JOHNSON CREEK RD
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:NY
Practice Address - Zip Code:14105-9786
Practice Address - Country:US
Practice Address - Phone:716-735-3529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other