Provider Demographics
NPI:1013049436
Name:TINI, BARBARA H (MSSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:H
Last Name:TINI
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:HEITZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:438 CENTRE ISLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771
Mailing Address - Country:US
Mailing Address - Phone:516-624-3818
Mailing Address - Fax:
Practice Address - Street 1:438 CENTRE ISLAND RD
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771
Practice Address - Country:US
Practice Address - Phone:516-624-3818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0160021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNIB841Medicare ID - Type Unspecified