Provider Demographics
NPI:1043598311
Name:BARBIERA, CARMELLA SARAH
Entity type:Individual
Prefix:MS
First Name:CARMELLA
Middle Name:SARAH
Last Name:BARBIERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TWOMBLY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3805
Mailing Address - Country:US
Mailing Address - Phone:718-690-0780
Mailing Address - Fax:
Practice Address - Street 1:1 TWOMBLY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3805
Practice Address - Country:US
Practice Address - Phone:718-690-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020928235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist