Individual
NICOLE M BAINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3959 BROADWAY, 8N, NEW YORK, NY 10032-1559
(212) 305-5475
Mailing address
3959 BROADWAY, 8 NORTH, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381941
NY
Other
Enumeration date
01/11/2008
Last updated
06/16/2009
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