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Emily Baird, FNP

Nurse Practitioner, Family in Port Jefferson Station, NY. Individual provider (NPI-1).

NPI number1417814732
StatusActive
Last updated in NPPESJan 7, 2026

Details

NPI
1417814732
Entity type
Individual (NPI-1)
Name
Emily Baird
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 7, 2026
Certification date
Jan 7, 2026
Last updated
Jan 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family357614NYYes

Practice location

1500 Route 112 Bldg 4
Port Jefferson Station, NY 11776-8055

Phone 631-751-3000

Mailing address

1500 Route 112 Bldg 4
Port Jefferson Station, NY 11776-8055

Phone 631-751-3000

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