Individual
CAROLIN BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
177 WHITE PLAINS RD, TARRYTOWN, NY 10591-5518
(914) 564-9254
Mailing address
177 WHITE PLAINS RD APT 84B, TARRYTOWN, NY 10591-5516
(914) 564-9254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
798021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190537468
DRIVING LICENSE
NY
Enumeration date
05/18/2022
Last updated
05/18/2022
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