Individual
AUDRA BACIGALUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
79 WESTMINSTER RD, WEST HEMPSTEAD, NY 11552-1630
(516) 509-8582
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309786
NY
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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