Provider Demographics
NPI:1538240585
Name:VENTURA, BARBARA (NP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:VENTURA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 MAMARONECK AVENUE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1708
Mailing Address - Country:US
Mailing Address - Phone:914-682-1480
Mailing Address - Fax:914-997-0036
Practice Address - Street 1:360 MAMARONECK AVENUE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1708
Practice Address - Country:US
Practice Address - Phone:914-682-1480
Practice Address - Fax:914-997-0036
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331237363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02180050Medicaid
NY02180050Medicaid
NYP37687Medicare UPIN