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Individual

MISS BRIANA LISA BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
622 W 168TH ST PH 16, NEW YORK, NY 10032-3720
(212) 305-2463
Mailing address
622 W 168TH ST PH 16, NEW YORK, NY 10032-3720
(212) 305-2463

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
309543
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/21/2017
Last updated
04/20/2023
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