Provider Demographics
NPI:1700961828
Name:BARROW, DEBORAH (RNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:BARROW
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2419
Mailing Address - Country:US
Mailing Address - Phone:718-405-4067
Mailing Address - Fax:718-405-4148
Practice Address - Street 1:MMG - FAMILY HEALTH CENTER
Practice Address - Street 2:360 EAST 193RD STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:718-405-4067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF300603363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner