Individual
CHIARA BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
107 WOOLLEY AVE, STATEN ISLAND, NY 10314-2642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347577-01
NY
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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