Patricia Nellys Bard in Brookhaven - Clinical
Patricia Nellys Bard - NPI 1669552741
Patricia Nellys Bard is a Clinical in Brookhaven, New York. Patricia Nellys Bard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Nellys Bard is 1669552741. The last update date is 2007-07-08.
Patricia Nellys Bard's current location address is 4 Bay Ln, Brookhaven, New York. You can contact this provider via phone number 6312862340. The mailing address for Patricia Nellys Bard is 4 Bay Ln, Brookhaven, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Nellys Bard |
|---|---|
| Address | 4 Bay Ln, Brookhaven, New York |
| Phone Number | 6312862340 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669552741 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4 Bay Ln |
|---|---|
| City | Brookhaven |
| State | New York (NY) |
| Post Code | 117199745 |
| Phone Number | 6312862340 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 69559 |
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What is the unique 10-digit identification code issued to Patricia Nellys Bard by the Centers for Medicare & Medicaid Services?
The Patricia Nellys Bard has been assigned the NPI (National Provider Identifier) 1669552741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Patricia Nellys Bard's physical address?
The Patricia Nellys Bard is physically located at 4 Bay Ln, in the city of Brookhaven, NY, with the postal code 117199745.
What is the Patricia Nellys Bard's area of specialization and corresponding taxonomy classification?
The Patricia Nellys Bard's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669552741 to Patricia Nellys Bard?
The Centers for Medicare & Medicaid Services originally issued the 1669552741 to Patricia Nellys Bard on 2006-10-16.
When was the information pertaining to Patricia Nellys Bard most recently updated or revised?
The details related to Patricia Nellys Bard, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.