Individual
DR. JEANETTE D. BALDASSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
63 GREGG PL, STATEN ISLAND, NY 10301-2610
(718) 981-5817
(718) 981-5817
Mailing address
63 GREGG PL, STATEN ISLAND, NY 10301-2610
(718) 981-5817
(718) 981-5817
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
010690-1
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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