Provider Demographics
NPI:1043559537
Name:BALDYGA, SYLWIA (LAC)
Entity Type:Individual
Prefix:
First Name:SYLWIA
Middle Name:
Last Name:BALDYGA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3113
Mailing Address - Country:US
Mailing Address - Phone:631-255-9488
Mailing Address - Fax:
Practice Address - Street 1:528 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3113
Practice Address - Country:US
Practice Address - Phone:631-255-9488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004888-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist