Provider Demographics
NPI:1558506923
Name:VARVARA, BARBARA (LPN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:VARVARA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 THROOP ST
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-3409
Mailing Address - Country:US
Mailing Address - Phone:631-321-7366
Mailing Address - Fax:
Practice Address - Street 1:192 THROOP ST
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-3409
Practice Address - Country:US
Practice Address - Phone:631-321-7366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6226845163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health