Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 0088031 | NY |
Y | 103T00000X | Psychologist | 0088031 | NY |
N | 102L00000X | Psychologist | 2875 | NJ |
N | 103T00000X | Psychologist | 2875 | NJ |
NPI | 1013130632 |
---|---|
Provider Name | Dr. Barbara Irene Lino |
First Address | New York, NY 10024-2408 |
Second Address | New York, NY 10024-2408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |