DR. JEANETTE D. BALDASSANO


Address: 63 Gregg Pl, Staten Island, NY 10301-2610
Phone: 7189815817

DR. JEANETTE D. BALDASSANO (NPI# 1437271004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437271004
Entity Type Individual
Full Name DR. JEANETTE D. BALDASSANO
Credential PH.D.
Practice Address 63 Gregg Pl
Staten Island
NY 10301-2610
Practice Telephone 7189815817
Practice Fax Number 7189815817
Mailing Telephone 7189815817
Mailing Fax Number 7189815817
Enumeration Date 2007-04-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
010690-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 63 GREGG PL
City STATEN ISLAND
State NY
Zip Code 10301-2610

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
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Competitor

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City STATEN ISLAND
Zip Code 10301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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