Individual
MICHELLE BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1825 PARK AVE, NEW YORK, NY 10035-1932
(212) 774-3224
Mailing address
446 E 86TH ST APT 14G, NEW YORK, NY 10028-6468
(917) 657-2363
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
401316-1
NY
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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