Individual
DANIELLE BAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(215) 562-1935
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(215) 562-1935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
318737
NY
207Q00000X
Family Medicine Physician
MD471182
PA
Other
Enumeration date
04/21/2017
Last updated
11/14/2023
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