Provider Demographics
NPI:1922242031
Name:BARAN, WHITNEY (DPT)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BARAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:DIEFENDORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:324 E 41ST ST
Mailing Address - Street 2:APT 202C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5954
Mailing Address - Country:US
Mailing Address - Phone:516-319-8748
Mailing Address - Fax:
Practice Address - Street 1:320 E 65TH ST
Practice Address - Street 2:STE. 117
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6743
Practice Address - Country:US
Practice Address - Phone:212-249-2588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030986-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist