Provider Demographics
NPI:1326825290
Name:INFINITY FAMILY HEALTH NP CONSULTANT PLLC
Entity Type:Organization
Organization Name:INFINITY FAMILY HEALTH NP CONSULTANT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUERLE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC
Authorized Official - Phone:347-642-1686
Mailing Address - Street 1:2407 KAYRON LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2113
Mailing Address - Country:US
Mailing Address - Phone:347-642-1686
Mailing Address - Fax:267-619-7001
Practice Address - Street 1:2407 KAYRON LN
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2113
Practice Address - Country:US
Practice Address - Phone:845-535-1714
Practice Address - Fax:267-619-7001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty