Provider Demographics
NPI:1518624527
Name:BALDINO, KYRSTIN (RN)
Entity Type:Individual
Prefix:
First Name:KYRSTIN
Middle Name:
Last Name:BALDINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 S. CLINTON AVE
Mailing Address - Street 2:BUILDING H SUITE 135
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-341-7066
Mailing Address - Fax:585-341-7945
Practice Address - Street 1:2400 S. CLINTON AVE
Practice Address - Street 2:BUILDING H SUITE 135
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-341-7066
Practice Address - Fax:585-341-7945
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY700599163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse