Provider Demographics
NPI:1417081712
Name:BACCARI-SCHULTZ, LINDA ANN (MASTERS DEGREE)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN
Last Name:BACCARI-SCHULTZ
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 180
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-4219
Mailing Address - Country:US
Mailing Address - Phone:612-816-3487
Mailing Address - Fax:
Practice Address - Street 1:33 SAINT GEORGE DRIVE WEST
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-4219
Practice Address - Country:US
Practice Address - Phone:631-816-3487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist