Individual
MISS ELIZABETH JANE BAILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP
Contact information
Practice address
177 FORT WASHINGTON AVE, MHB 5 GARDEN NORTH ROOM 5-435, NEW YORK, NY 10032-3733
(212) 305-9564
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 305-9564
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430941-1
NY
Other
Enumeration date
03/11/2016
Last updated
08/16/2016
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