Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA09990400 | NJ |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 281549 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 52961 | CT |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD150619 | OR |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD459487 | PA |
N | 207YS0123X | Facial Plastic Surgeon | 25MA09990400 | NJ |
Y | 207YS0123X | Facial Plastic Surgeon | 281549 | NY |
N | 207YS0123X | Facial Plastic Surgeon | MD459487 | PA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 52961 | CT |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A108882 | CA |
NPI | 1124289293 |
---|---|
Provider Name | Melynda Audrey Barnes |
First Address | New York, NY 10037-1889 |
Second Address | New York, NY 10037-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2008 |
Last Update Date | 26/04/2019 |