Dawn Marie Baratta, P.T.

Individual provider Active NPI Early Intervention Provider Agency · Albertson, NY

NPI 1174778591 · NPPES record last updated Nov 26, 2008

Key facts

NPI
1174778591
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
018084-1 (NY)
Practice address
149 Hughes PL
Albertson, NY 11507-1601
Phone
(516) 750-5216
Fax
(516) 465-3719
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
018084-1NYMDEarly Intervention Provider Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 018084-1 NY Yes

Addresses

Primary practice location

149 Hughes PL
Albertson, NY 11507-1601

Mailing address

149 Hughes PL
Albertson, NY 11507-1601
Phone (516) 750-5216

Other providers in Albertson, NY

All providers in Albertson, NY · Early Intervention Provider Agency in New York

Sources for this page

Verify at the official NPI Registry.