Individual
SHARESA NICOLE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
55 E 21ST ST APT 3B, BROOKLYN, NY 11226-1860
(917) 371-7637
Mailing address
55 E 21ST ST APT 3B, BROOKLYN, NY 11226-1860
(917) 371-7637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0025071
NY
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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