Basic Information
Provider Information | |||||||||
NPI: | 1235299207 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ALAMMARI | ||||||||
FirstName: | BARBARA | ||||||||
MiddleName: | ANN | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | L.C.S.W. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | POLCHINSKI ALAMMARI | ||||||||
OtherFirstName: | BARBARA | ||||||||
OtherMiddleName: | ANN | ||||||||
OtherNamePrefix: | MS. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | L.C.S.W. | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 651 N TERRACE AVE APT 2C | ||||||||
Address2: |   | ||||||||
City: | MOUNT VERNON | ||||||||
State: | NY | ||||||||
PostalCode: | 105522748 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9146643518 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 107 W 4TH ST | ||||||||
Address2: |   | ||||||||
City: | MOUNT VERNON | ||||||||
State: | NY | ||||||||
PostalCode: | 105504002 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9146997200 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/11/2006 | ||||||||
LastUpdateDate: | 05/17/2010 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 076417-1 | NY | Y |   | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.