Provider Demographics
NPI:1457316622
Name:BARROWS, MARJORIE STONE (MSN)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:STONE
Last Name:BARROWS
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 GARLING DR
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2312
Mailing Address - Country:US
Mailing Address - Phone:518-785-6424
Mailing Address - Fax:
Practice Address - Street 1:713 TROY SCHENECTADY RD
Practice Address - Street 2:SUITE 131
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2490
Practice Address - Country:US
Practice Address - Phone:518-713-4434
Practice Address - Fax:518-713-4432
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-330456-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ500035060OtherPTAN