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Individual

MRS. BLANCA IRIS BAEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS.ED.

Contact information

Practice address
551 52ND ST, BROOKLYN, NY 11220-2720
(718) 853-5309
(718) 853-5309
Mailing address
551 52ND ST, BROOKLYN, NY 11220-2720
(718) 853-5309
(718) 853-5309

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY
174400000X
Specialist

Other

Enumeration date
07/09/2012
Last updated
07/09/2012
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