Organization
DR BRANDY M BAILLARGEON NURSE PRACTITIONER PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY M BAILLARGEON DR (NURSE PRACTITIONER CEO)
(907) 204-0894
Entity
Organization
Contact information
Practice address
966 STATE HIGHWAY 37, HAMMOND, NY 13646-3280
(907) 204-0894
Mailing address
966 STATE HIGHWAY 37, HAMMOND, NY 13646-3280
(907) 204-0894
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04531031
—
NY
Enumeration date
08/18/2022
Last updated
08/19/2022
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