Provider Demographics
NPI:1598959025
Name:ANNMARIE T. BALDANTI, MD, PLLC
Entity Type:Organization
Organization Name:ANNMARIE T. BALDANTI, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDANTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-632-2030
Mailing Address - Street 1:838 PELHAMDALE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1032
Mailing Address - Country:US
Mailing Address - Phone:914-632-2030
Mailing Address - Fax:914-235-3355
Practice Address - Street 1:838 PELHAMDALE AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1032
Practice Address - Country:US
Practice Address - Phone:914-632-2030
Practice Address - Fax:914-235-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty