Individual
SANDRA BAFFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 E 54TH ST, BROOKLYN, NY 11234-3919
(347) 374-5361
Mailing address
1643 E 54TH ST, BROOKLYN, NY 11234-3919
(347) 374-5361
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
556304
NY
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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