Most Relevant Information
Provider Data
| NPI Number: | 1003691700 |
| Provider Name: | ANITA BARUA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2023 |
| Last Updated: | 08/30/2023 |
Provider Practice Location
17730 WEXFORD TER STE A
JAMAICA
NY
114322959
Practice Location Phone/Fax
| Phone: | 3474944896 |
| Fax: |
Provider Mailing Location
17730 WEXFORD TER STE A
JAMAICA
NY
114322959
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |