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Jennifer Barocas, NP

Nurse Practitioner in Mineola, NY. Individual provider (NPI-1).

NPI number1750583878
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1750583878
Entity type
Individual (NPI-1)
Name
Jennifer Barocas
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner33335006NYYes

Practice location

200 Old Country Rd
Suite 350
Mineola, NY 11501-4235

Phone 516-739-2100 · Fax 516-739-2178

Mailing address

11 Prospect Pl
Massapequa, NY 11758-5812

Phone 516-804-5816

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