Individual provider · Type 1 NPI

Jacqualine A. Barth

Specialist · Ronkonkoma, NY

NPI number 1033544952 Active

Practice location

90 Air Park Dr
Ronkonkoma, NY 11779-7360

Call (631) 580-4071 Map

Fax (631) 471-1954

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033544952

Jacqualine A. Barth's National Provider Identifier is 1033544952, issued on Sep 10, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Sep 10, 2013.