Individual
DR. JOHANNA BAEUERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
326 N HIGHLAND AVE, NYACK, NY 10960-1416
(845) 358-3300
(845) 358-3375
Mailing address
253 PIERMONT AVE, SOUTH NYACK, NY 10960-4610
(845) 353-4266
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
151232
NY
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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