Individual
JAVIER BAQUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5100
Mailing address
64 BRIDGE RD, MANHASSET, NY 11030-1544
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
103619
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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