Mirna Baptiste

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

26 -51 Bell Boulevard
Suite209
Bayside, NY 11360

Phone

(718) 877-7976

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1811613276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14235 84TH DR APT 4D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352212",
            "telephone_number": "347-441-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 -51 BELL BOULEVARD",
            "address_2": "SUITE209",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11360",
            "telephone_number": "718-877-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTE",
        "first_name": "MIRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spiro Konstantino Balaouras, D.D.S.
• Constadina Balis, M.S., P.T.
• In Kuk Bang, LAC
• Michael Banome
• Marvin Christopher Banzon
• Debra J. Bardavid, LCSW
• Elliot Bardavid, LCSW
• Katherine Baron
• Michael Baron, D.D.S.
• Peter Robert Barra, MD

• Early Intervention Provider Agency in Bayside, NY
• Providers in Bayside, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.