Kelly M Baccari

NPI #1134569296 in Merrick, New York

Provider Information

NPI Number: 1134569296
Entity Type: Individual
Name: Kelly M Baccari
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 3, 2013
Last Updated: Jul 3, 2013

Practice Location

Address: 1784 CARROLL AVE
City: Merrick
State: New York
ZIP Code: 11566-2904
Phone: (516) 659-8533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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