Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 284088 | NY |
NPI | 1003251299 |
---|---|
Provider Name | Dr. Nadia Baranchuk |
First Address | Manhasset, NY 11030-3816 |
Second Address | New York, NY 10003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2013 |
Last Update Date | 25/05/2018 |