Provider Demographics
NPI:1609457514
Name:LABARBERA, TAMMI
Entity Type:Individual
Prefix:MRS
First Name:TAMMI
Middle Name:
Last Name:LABARBERA
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 1:39 EASTOVER RD
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-1112
Mailing Address - Country:US
Mailing Address - Phone:631-793-1826
Mailing Address - Fax:
Practice Address - Street 1:39 EASTOVER RD
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-1112
Practice Address - Country:US
Practice Address - Phone:631-793-1826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist