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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X076417-1NYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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