Individual provider · NPI-1

Sharesa Nicole Baldwin, MS, ATC

Specialist/Technologist, Athletic Trainer · Brooklyn, NY

NPI number1114347044
StatusActive
Last updated in NPPESApr 17, 2014

Details

NPI
1114347044
Entity type
Individual (NPI-1)
Name
Sharesa Nicole Baldwin
Credential
MS, ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 17, 2014
Last updated
Apr 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer0025071NYYes

Practice location

55 E 21st St Apt 3b
Brooklyn, NY 11226-1860

Phone 917-371-7637

Mailing address

55 E 21st St Apt 3b
Brooklyn, NY 11226-1860

Phone 917-371-7637

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