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Lavizan Baldev
Pediatric Registered Nurse in Port Jefferson Station, New York
NPI 1346408143

Lavizan Baldev is a Pediatric Registered Nurse based in Patchogue, NY and is specialized in Pediatrics. Lavizan Baldev practices in Port Jefferson Station, NY. The NPI Number for Lavizan Baldev is 1346408143 and holds a License No. 536970-1 (New York).

The current practice location address for Lavizan Baldev is 9 Norton Ave, Port Jefferson Station, NY and can be reached out via phone at 631-474-7878.

Location: 9 Norton Ave, Port Jefferson Station, NY, 11772-1814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346408143
Provider Name
Lavizan Baldev
Credential
Provider Entity Type
Individual
Gender
Female
Address
9 Norton Ave, Port Jefferson Station, NY, 11772-1814
Phone Number
631-474-7878
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DU32484Y 05 NY
institution
Provider Business Practice Location Address Details
Address
9 Norton Ave
City
Port Jefferson Station
State
New York
Zip
11776-4407
Phone Number
631-474-7878
Fax Number
person
Provider Business Mailing Address Details
Address
9 Norton Ave
City
Port Jefferson Station
State
New York
Zip
11776-4407
Phone Number
631-474-7878
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
536970-1 (New York)
Definition
Definition to come...
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