Individual
ANNE ELIZABETH BALDASSARRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
207 NORTHERN BLVD, SAINT JAMES, NY 11780-1826
(631) 478-4984
Mailing address
81 BLAKE AVE, BOHEMIA, NY 11716-3401
(631) 478-4984
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
199035-1
NY
Other
Enumeration date
01/05/2013
Last updated
01/15/2020
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