Jacqualine A Barth
NPI #1033544952 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1033544952
- Entity Type
- Individual
- Name
- Jacqualine A Barth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 10, 2013
- Last Updated
- Sep 10, 2013
Practice Location
- Address
- 90 AIR PARK DR
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-7360
- Phone
- (631) 580-4071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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