MEDICARE: FARNA BAPTISTE NP

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
1	363LF0000X	Family Nurse Practitioner	333503	NY

General Provider Information

NPI Number	:	1215976642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARNA BAPTISTE NP

Provider Business Mailing Address
First Line	:	64 BLEECKER ST # 151
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-2410
Country	:	US
Telephone Number	:	347-933-6246
Fax Number	:

Provider Business Practice Location Address
First Line	:	632 BROADWAY PH
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-2614
Country	:	US
Telephone Number	:	347-933-6246
Fax Number	:	855-318-8277

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	10/18/2021

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