Provider Demographics
NPI:1306524640
Name:JNBAPTISTE, PERDELLA (RPS)
Entity type:Individual
Prefix:MS
First Name:PERDELLA
Middle Name:
Last Name:JNBAPTISTE
Suffix:
Gender:F
Credentials:RPS
Other - Prefix:MS
Other - First Name:PERDELLA
Other - Middle Name:
Other - Last Name:JN. BAPTISTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:30 3RD AVE
Mailing Address - Street 2:4U
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2129
Mailing Address - Country:US
Mailing Address - Phone:203-382-3222
Mailing Address - Fax:
Practice Address - Street 1:30 THIRD AVENUE
Practice Address - Street 2:4U
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:203-382-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010012083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine