Doctor Name: | LINDA BAUER |
NPI Number: | 1679855126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 498996-1 |
Business Practice Address: | 215 Old Riverhead Rd Westhampton Beach, NY - 119781206 |
Business Phone Number: | 6312886515 |
Business Fax Number: | 6312888527 |
Mailing Address: | 201 Thunder Rd, HOLBROOK |
State: | NY |
Postal Code: | 117414435 |
Phone Number: | 6314722780 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2011 |
NPI Last Update Date: | 09/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 498996-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |