Individual
MS. ALEXA LEIGH BALDASSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
534 BROADWAY, STATEN ISLAND, NY 10310-2825
(917) 957-5040
Mailing address
534 BROADWAY, STATEN ISLAND, NY 10310-2825
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F-309757-01
NY
Other
Enumeration date
03/08/2021
Last updated
04/11/2021
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