Individual provider · Type 1 NPI
Kelly M. Baccari
Student in an Organized Health Care Education/Training Program · Merrick, NY
NPI number
1134569296
Active
Practice location
1784 Carroll Ave
Merrick, NY 11566-2904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Raha Ghafurian, DMDStudent in an Organized Health Care Education/Training Program Merrick, NY NPI 1265759476
- Stephanie Sager, DDSStudent in an Organized Health Care Education/Training Program Merrick, NY NPI 1275028482
About NPI 1134569296
Kelly M. Baccari's National Provider Identifier is 1134569296, issued on Jul 3, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Merrick, NY. The record was last updated on Jul 3, 2013.