# FERN BAUDO ADULT HEALTH NURSE PRACTITIONER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114278413
- **Authorized official:** MRS. FERN BAUDO ANP (PRESIDENT)
- **Authorized official phone:** (646) 235-4633

## Contact information

- **Practice address:** 108 CAPITOL AVE, WILLISTON PARK, NY 11596-1621
- **Practice address phone:** (646) 235-4633
- **Mailing address:** 108 CAPITOL AVE, WILLISTON PARK, NY 11596-1621
- **Mailing address phone:** (646) 235-4633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F3303237 | NY | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 09/26/2012