Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Bryan Baracaldo

Individual provider Adult Health Nurse Practitioner · NPI 1528599396

Mr. Bryan Baracaldo is an Adult Health Nurse Practitioner in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

13519 77th Ave
Flushing, NY 11367-2823
Phone: (516) 662-4487
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Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308171 (NY)

Record details

NPI number1528599396
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2017
Last updated in NPPESApril 7, 2017
Mailing address13519 77th Ave, Flushing, NY 11367-2823

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