Bari Nicole Sporn

NPI #1003456559 in Syosset, New York

Provider Information

NPI Number: 1003456559
Entity Type: Individual
Name: Bari Nicole Sporn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 47 HUMPHREY DR
City: Syosset
State: New York
ZIP Code: 11791-4022
Phone: (516) 921-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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