Provider Demographics
NPI:1720625924
Name:BALDINO, ALORA DINEEN
Entity Type:Individual
Prefix:
First Name:ALORA
Middle Name:DINEEN
Last Name:BALDINO
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 1:52 CROWN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-2835
Mailing Address - Country:US
Mailing Address - Phone:203-584-5415
Mailing Address - Fax:
Practice Address - Street 1:52 CROWN ST APT 2
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-2835
Practice Address - Country:US
Practice Address - Phone:203-584-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider