Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 281459 | NY |
NPI | 1053675264 |
---|---|
Provider Name | Dr. Valerie Barta |
First Address | Long Island City, NY 11101-5865 |
Second Address | New York, NY 10075-1850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2012 |
Last Update Date | 17/07/2017 |