Individual
MRS. LUZ MARIA BAENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.C.S.W.
Contact information
Practice address
195 E BEVERLY PKWY, VALLEY STREAM, NY 11580-4247
(516) 872-4062
Mailing address
195 E BEVERLY PKWY, VALLEY STREAM, NY 11580-4247
(516) 872-4062
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
222455031SP.ED.TECH
NY
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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