Flora Mendoza Baetiong

Individual provider Active NPI Registered Nurse · Tarrytown, NY

NPI 1962646935 · NPPES record last updated Apr 21, 2009

Key facts

NPI
1962646935
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
261791-1 (NY)
Practice address
2706 Watch Hill Dr
Tarrytown, NY 10591-5041
Phone
(914) 332-1054
NPI assigned
Apr 21, 2009
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
261791-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 261791-1 NY Yes

Addresses

Primary practice location

2706 Watch Hill Dr
Tarrytown, NY 10591-5041

Mailing address

2706 Watch Hill Dr
Tarrytown, NY 10591-5041
Phone (914) 332-1054

Other providers in Tarrytown, NY

All providers in Tarrytown, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.