Individual
MARIA ANTONINA BALDOVISO ALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-2500
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-2500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432644
NY
Other
Enumeration date
08/25/2023
Last updated
10/13/2023
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