Individual
HIPOLITO BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2123 BOSTON RD, 4E, BRONX, NY 10460-2240
(917) 915-0256
Mailing address
2123 BOSTON RD, 4E, BRONX, NY 10460-2240
(917) 915-0256
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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