Provider Demographics
NPI:1831346568
Name:BARNABAS, ANITTA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANITTA
Middle Name:
Last Name:BARNABAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BYRAM BROOK PLACE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504
Mailing Address - Country:US
Mailing Address - Phone:646-346-3316
Mailing Address - Fax:
Practice Address - Street 1:530B SEAVIEW AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3406
Practice Address - Country:US
Practice Address - Phone:646-346-3316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054135122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist