Provider Demographics
NPI:1588982177
Name:BARR, CLARE MARIE
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:MARIE
Last Name:BARR
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 LEO MOSS DR
Mailing Address - Street 2:SUITE 4010
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1154
Mailing Address - Country:US
Mailing Address - Phone:716-373-8050
Mailing Address - Fax:
Practice Address - Street 1:1 LEO MOSS DR
Practice Address - Street 2:SUITE 4010
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1154
Practice Address - Country:US
Practice Address - Phone:716-373-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY578818163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00011208901OtherUNIVERA - CLINIC
NY000512768001OtherBC/BS - CLINIC
NY00030716901OtherUNIVERA - FP
NY00474777Medicaid
NY8390018OtherIH - CLINIC