Basic Information
| Provider Information | |||||||||
| NPI: | 1467837146 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SLOVES | ||||||||
| FirstName: | BARI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23-37 31ST ROAD | ||||||||
| Address2: | APT 5A | ||||||||
| City: | ASTORIA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605500078 | ||||||||
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| Practice Location | |||||||||
| Address1: | 535 8TH AVE FL 2 | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100184332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127879700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2015 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 039709 | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 039709 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.