Individual
MARITZA YVETTE BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1091 MAIN ST STE 301, BUFFALO, NY 14209-2305
(716) 248-1420
(716) 248-2026
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243227
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02911640
—
NY
Enumeration date
05/14/2007
Last updated
08/02/2023
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