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Individual

MR. SHLOMO BAUMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP, PMHNP

Contact information

Practice address
4426 18TH AVE, BROOKLYN, NY 11204-1201
(718) 854-0001
Mailing address
1569 E 35TH ST, BROOKLYN, NY 11234-3438
(908) 910-1888

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
363LF0000X
Family Nurse Practitioner
F349130-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407701-01
NY

Other

Enumeration date
01/15/2016
Last updated
04/15/2026
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