Organization
JULISSA BAEZ MD PC
Active
Organization
JULISSA BAEZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISSA BAEZ MD (OWNER)
(646) 524-6351
Entity
Organization
Contact information
Practice address
232 E 12TH ST, UNIT 1G, NEW YORK, NY 10003-9151
(646) 524-6351
(646) 524-6362
Mailing address
232 E 12TH ST, UNIT 1G, NEW YORK, NY 10003-9151
(646) 524-6351
(646) 524-6362
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
232901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02797648
—
NY
Enumeration date
02/04/2013
Last updated
02/04/2013
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