Provider Demographics
NPI:1336822162
Name:BARRIENTOS TINEO, ANARKY
Entity Type:Individual
Prefix:
First Name:ANARKY
Middle Name:
Last Name:BARRIENTOS TINEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 VIREO AVE APT L8
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-2317
Mailing Address - Country:US
Mailing Address - Phone:347-264-9325
Mailing Address - Fax:
Practice Address - Street 1:4380 VIREO AVE APT L8
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-2317
Practice Address - Country:US
Practice Address - Phone:347-264-9325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty