Individual
LAUREN ALEXANDRA BAIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
283 BROMPTON RD S, GARDEN CITY, NY 11530-5606
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
021170-1
NY
363A00000X
Physician Assistant
021170-1
NY
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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