Brian Baum

NPI 1265740534 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1265740534
Gender Male
Enumeration Date 09/20/2010
Last Updated 09/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5 KENMONT DR
CAMILLUS NY, 13031-1511, US
Phone (315) 751-4091
Fax
Business Location
5 KENMONT DR
CAMILLUS NY, 13031-1511, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 279811
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According to our database, Brian Baum NPI is 1265740534, taxonomy code is 164W00000X and license number is 279811, license state is located at New York. Brian Baum physically located at 5 Kenmont Dr, Camillus NY, 13031-1511. NPI Number Brian Baum has the Individual type.

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1265740534 NPI number is provided on an as is basis without warranty of any kind. 1265740534 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Baum are for informational purposes only.