MS. GRACEANN ELIZABETH BALDENKO NPI 1295557106

NPI Information

  • NPI: 1295557106
  • Provider Name: MS. GRACEANN ELIZABETH BALDENKO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 650 HALLOCK AVE
    PORT JEFF STA, NY
    ZIP 11776
  • Phone: (631) 403-3318

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NPI Details

MS. Graceann Elizabeth Baldenko is a mental health counselor in Port Jeff Sta, NY. MS. Graceann Elizabeth Baldenko NPI is 1295557106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

650 HALLOCK AVE
PORT JEFF STA, NY
ZIP 11776-256
Phone: (631) 403-3318

The enumeration date for this NPI number is 10/30/2024 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthP131960NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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