Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHANNA BAEUERLE, M.D.
Active Sole ProprietorProcedural Dermatology · NYACK, NY
Registration Details
- NPI Number
- 1346249794
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (20.757906351422 yrs)
- Last Updated
- Jul 8, 2007
- License
-
151232 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
326 N HIGHLAND AVENYACK, NY, 109601416Browse NY providers · Browse ZIP 10960
- Phone
- 8453583300
- Fax
- 8453583375
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.