Julia Baldinger
Individual provider Active NPI Pharmacist · Farmingdale, NY
NPI 1104140912 · NPPES record last updated Aug 29, 2012
Key facts
- NPI
- 1104140912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 046968 (NY)
- Practice address
- 111 Executive Blvd
Farmingdale, NY 11735-4719 - Phone
- (631) 843-0500
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046968 | NY | Yes |
Addresses
Primary practice location
111 Executive Blvd
Farmingdale, NY 11735-4719
Mailing address
111 Executive Blvd
Farmingdale, NY 11735-4719
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.