Provider Demographics
NPI:1649819772
Name:BARBER, PATRICIA MARY ANNE (ND (TRADITIONAL))
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARY ANNE
Last Name:BARBER
Suffix:
Gender:F
Credentials:ND (TRADITIONAL)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 CAFFERTY LN
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-8925
Mailing Address - Country:US
Mailing Address - Phone:607-761-8569
Mailing Address - Fax:
Practice Address - Street 1:3401 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-5978
Practice Address - Country:US
Practice Address - Phone:607-761-8569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath