Individual
JOHANNA BAEYENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 EARLE OVINGTON BLVD, UNIONDALE, NY 11553-3610
(516) 428-2423
Mailing address
333 EARLE OVINGTON BLVD, UNIONDALE, NY 11553-3610
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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