Provider Demographics
NPI:1972804409
Name:OGANIANTS, BARBARA BORISOVNA (PT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:BORISOVNA
Last Name:OGANIANTS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W 51ST ST
Mailing Address - Street 2:APARTMENT 1123
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6836
Mailing Address - Country:US
Mailing Address - Phone:646-301-5893
Mailing Address - Fax:
Practice Address - Street 1:150 W 51ST ST
Practice Address - Street 2:APARTMENT 1123
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6836
Practice Address - Country:US
Practice Address - Phone:646-301-5893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0286932251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic