Provider Demographics
NPI:1306380803
Name:BAPTISTE, ANGELA (MS ED)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-2812
Mailing Address - Country:US
Mailing Address - Phone:917-500-5100
Mailing Address - Fax:
Practice Address - Street 1:722 MADISON STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-2812
Practice Address - Country:US
Practice Address - Phone:917-500-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY497786174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist