Individual
CRISTINA BAESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
54 W MERRICK RD, VALLEY STREAM, NY 11580-5719
(516) 593-3030
Mailing address
54 W MERRICK RD, VALLEY STREAM, NY 11580-5719
(516) 593-3030
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
028285
NY
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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