Provider Demographics
NPI:1245588094
Name:BAPTISTE, ANTHONY HENRY (LPN)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:HENRY
Last Name:BAPTISTE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 EALING CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-5621
Mailing Address - Country:US
Mailing Address - Phone:646-548-7061
Mailing Address - Fax:631-617-6219
Practice Address - Street 1:119 EALING CT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-5621
Practice Address - Country:US
Practice Address - Phone:646-548-7061
Practice Address - Fax:631-617-6219
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3088221164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse