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NPI Code Detail

MEDICARE: KAMLA BALDEO

MEDICARE: KAMLA BALDEO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker090718NY

General Provider Information

NPI Number : 1104294321
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMLA BALDEO
Provider Business Mailing Address
First Line : 1650 SELWYN AVE
Second Line : 7C
City : BRONX
State : NY
Zip : 10457-7626
Country : US
Telephone Number : 917-805-0703
Fax Number :
Provider Business Practice Location Address
First Line : 1650 SELWYN AVE
Second Line : 7C
City : BRONX
State : NY
Zip : 10457-7104
Country : US
Telephone Number : 917-805-0703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 01/26/2016

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Directions to “ KAMLA BALDEO ” Practice Location

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