Provider Demographics
NPI:1942495569
Name:FICALORA, BARBARA (MS MPS ATR)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:FICALORA
Suffix:
Gender:F
Credentials:MS MPS ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17B LONG LOTS RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3826
Mailing Address - Country:US
Mailing Address - Phone:203-222-1248
Mailing Address - Fax:203-222-1248
Practice Address - Street 1:71-36 110 ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4852
Practice Address - Country:US
Practice Address - Phone:203-984-6981
Practice Address - Fax:203-222-1248
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0004061102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst