Individual
KIRSYS BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(347) 526-3885
Mailing address
8268 164TH ST # 8N810, JAMAICA, NY 11432-1121
(187) 883-3861
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
521343
NY
363LA2200X
Adult Health Nurse Practitioner
F311069
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F311069-01
NY
Other
Enumeration date
11/25/2020
Last updated
11/19/2023
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