Balde-Doran, Bernadette D

Balde-Doran, Bernadette D is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373-1329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Balde-Doran, Bernadette D can be contacted via phone (718) 334-3025.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373-1329
Phone: (718) 334-3025
Fax: (718) 334-5958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380721 New York

Profile Details

NPI number 1538252275
LBN Legal business name Balde-Doran, Bernadette D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538252275 NPPES
New York MEDICAID 00246075

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