Provider Demographics
NPI:1407031503
Name:BARI, MARIA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:BARI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22227 FAIRBURY AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1925
Mailing Address - Country:US
Mailing Address - Phone:646-369-2243
Mailing Address - Fax:
Practice Address - Street 1:18616 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366-1734
Practice Address - Country:US
Practice Address - Phone:718-264-0319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051258183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist