Provider Demographics
NPI:1801197769
Name:JOHANNS, BARBARA BURTON (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:BURTON
Last Name:JOHANNS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:1-9 NATHAN D. PERLMAN PLACE
Mailing Address - Street 2:6 BERNSTEIN BETH ISRAEL MEDICAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3851
Mailing Address - Country:US
Mailing Address - Phone:212-420-2966
Mailing Address - Fax:212-844-1860
Practice Address - Street 1:1-9 NATHAN D. PERLMAN PLACE
Practice Address - Street 2:6 BERNSTEIN BETH ISRAEL MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3851
Practice Address - Country:US
Practice Address - Phone:212-420-2966
Practice Address - Fax:212-844-1860
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY003955-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical