Individual
ANTHONY MANUEL BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9525 QUEENS BLVD FRNT 5, REGO PARK, NY 11374-1995
(718) 575-9595
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
323729
NY
Other
Enumeration date
04/23/2018
Last updated
07/26/2024
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