Provider Demographics
NPI:1750922506
Name:BARBA, ALYSSA (MAOM)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:BARBA
Suffix:
Gender:F
Credentials:MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5412
Mailing Address - Country:US
Mailing Address - Phone:516-398-5406
Mailing Address - Fax:
Practice Address - Street 1:17 NEW SOUTH ST STE 108
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4074
Practice Address - Country:US
Practice Address - Phone:516-398-5406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist