Organization
FERN BAUDO ADULT HEALTH NURSE PRACTITIONER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FERN BAUDO ANP (PRESIDENT)
(646) 235-4633
Entity
Organization
Contact information
Practice address
108 CAPITOL AVE, WILLISTON PARK, NY 11596-1621
(646) 235-4633
Mailing address
108 CAPITOL AVE, WILLISTON PARK, NY 11596-1621
(646) 235-4633
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3303237
NY
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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