Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F403372 | NY |
NPI | 1013592864 |
---|---|
Provider Name | Kristina C Baranyi |
First Address | Grand Island, NY 14072-2923 |
Second Address | Hamburg, NY 14075-1870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2021 |
Last Update Date | 12/03/2021 |