Lavizan Baldev

NPI # 

Practice Address:

9 Norton Ave

Port Jefferson Station, NY, 11776-4407

Practice Phone:

631-474-7878

License Number:

536970-1

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Registered Nurse

Taxonomy Specialization:

Pediatrics

Taxonomy Code:

163WP0200X