Individual
MISS NICOLE VANESSA BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
630 W 168TH ST, PH 17, NEW YORK, NY 10032-3725
(212) 305-5903
(212) 342-5756
Mailing address
170 CLINTON ST, APARTMENT 7, BROOKLYN, NY 11201-4623
(917) 699-7890
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382120-1
NY
Other
Enumeration date
04/19/2010
Last updated
07/07/2015
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