Individual
CHANA BAUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
225 REGENT DR, LIDO BEACH, NY 11561-4934
(347) 891-4160
Mailing address
225 REGENT DR, LIDO BEACH, NY 11561-4934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
627527
NY
363LF0000X
Family Nurse Practitioner
Primary
353433
NY
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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