Basic Information
| Provider Information | |||||||||
| NPI: | 1619296878 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BAPTISTE | ||||||||
| FirstName: | DADRIE | ||||||||
| MiddleName: | FREDA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 908 NIAGARA FALLS BLVD STE 208 | ||||||||
| Address2: | |||||||||
| City: | NORTH TONAWANDA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 141202019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166923302 | ||||||||
| FaxNumber: | 8339532016 | ||||||||
| Practice Location | |||||||||
| Address1: | 2666 W STATE ST | ||||||||
| Address2: | |||||||||
| City: | OLEAN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 147601825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7167011700 | ||||||||
| FaxNumber: | 7167011717 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2010 | ||||||||
| LastUpdateDate: | 11/06/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD466760 | PA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 307424 | NY | N | Allopathic & Osteopathic Physicians | Surgery | 208C00000X | MD466760 | PA | N | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | 208C00000X | 307424 | NY | Y | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
No ID Information.