Individual
SUSAN A BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
105 MARY'S AVENUE, KINGSTON, NY 12401
(845) 338-2500
(845) 334-3172
Mailing address
185 GREEN STREET, STE 2, KINGSTON, NY 12401
(845) 339-3736
(845) 339-6731
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400833
NY
Other
Enumeration date
05/02/2006
Last updated
07/22/2010
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