Individual
UVE YENTLE BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 NIAGARA ST, BUFFALO, NY 14213-2007
(716) 856-2587
(716) 856-2608
Mailing address
1050 NIAGARA ST, BUFFALO, NY 14213-2007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
NY
Enumeration date
09/15/2017
Last updated
09/15/2017
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