National Provider Identifier
Derek Baldin
Derek Baldin is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 274-3011.
Profile Overview
- NPI
- 1891512570
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- September 24, 2024
- Last Updated
- September 24, 2024
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (607) 274-3011
Mailing Address
- 9615 Lee Pl
- Crown Point, IN 46307-7459
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1891512570
- Entity Type
- Individual
- Last Name
- Baldin
- First Name
- Derek
- Mailing Street Address
- 9615 Lee Pl
- Mailing City
- Crown Point
- Mailing State
- IN
- Mailing ZIP Code
- 46307-7459
- Mailing Country
- US
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (607) 274-3011
- Enumeration Date
- September 24, 2024
- Last Updated
- September 24, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)