Healthcare Provider Details

I. General information

NPI: 1881142065
Provider Name (Legal Business Name): JUNE M. BALDINO MA, OT R/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 COUNTY ROAD SUITE 101
TENAFLY NJ
07670
US

IV. Provider business mailing address

120 COUNTY ROAD SUITE 101
TENAFLY NJ
07670
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-5800
  • Fax: 201-894-5990
Mailing address:
  • Phone: 201-894-5800
  • Fax: 201-894-5990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00S77800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: