Provider Demographics
NPI:1578229357
Name:BARRY, NANCY ANN (MS, IMH-DP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:BARRY
Suffix:
Gender:F
Credentials:MS, IMH-DP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SWALLOW LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3224
Mailing Address - Country:US
Mailing Address - Phone:516-739-2483
Mailing Address - Fax:
Practice Address - Street 1:11835 QUEENS BLVD FL 6
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7211
Practice Address - Country:US
Practice Address - Phone:718-651-7770
Practice Address - Fax:718-507-4626
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health