Provider Demographics
NPI:1326313099
Name:BAR-NIR, KEREN (MS LAC)
Entity Type:Individual
Prefix:MS
First Name:KEREN
Middle Name:
Last Name:BAR-NIR
Suffix:
Gender:F
Credentials:MS LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 LAIGHT ST
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2000
Mailing Address - Country:US
Mailing Address - Phone:917-596-4856
Mailing Address - Fax:
Practice Address - Street 1:79 LAIGHT ST
Practice Address - Street 2:SUITE 5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2000
Practice Address - Country:US
Practice Address - Phone:917-596-4856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004618171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist