Provider Demographics
NPI:1417599242
Name:SCHILOWITZ, BARI
Entity Type:Individual
Prefix:
First Name:BARI
Middle Name:
Last Name:SCHILOWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 ROUTE 58 # 1013
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2141
Mailing Address - Country:US
Mailing Address - Phone:631-291-2487
Mailing Address - Fax:
Practice Address - Street 1:1087 ROUTE 58 # 1013
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2141
Practice Address - Country:US
Practice Address - Phone:631-291-2487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002621221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist