Provider Demographics
NPI:1710461819
Name:BAPTISTE, GERMIA TRICHELLE
Entity Type:Individual
Prefix:
First Name:GERMIA
Middle Name:TRICHELLE
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 SHORE RD APT L1
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4546
Mailing Address - Country:US
Mailing Address - Phone:516-425-4944
Mailing Address - Fax:
Practice Address - Street 1:522 SHORE RD APT L1
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4546
Practice Address - Country:US
Practice Address - Phone:516-425-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401411225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist