Individual
TINA T BAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
366 NORFELD BLVD, ELMONT, NY 11003-3641
(917) 993-0801
Mailing address
366 NORFELD BLVD, ELMONT, NY 11003-3641
(917) 993-0801
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1075309
NY
Other
Enumeration date
10/27/2021
Last updated
04/14/2023
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