Individual
JENNIFER M. BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
180 FORT WASHINGTON AVE, NEW YORK, NY 10032-3722
(646) 426-3876
Mailing address
710 W 168TH ST, NEW, NY 10032, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
279418
NY
Other
Enumeration date
03/29/2011
Last updated
03/06/2023
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