Individual
ERIDANIA MARIA BAEZ QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7 HEMION RD, SUFFERN, NY 10901-4919
(347) 661-6638
Mailing address
7 HEMION RD STE 210, SUFFERN, NY 10901-4928
(845) 357-3244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052104-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02717444
—
NY
Enumeration date
07/24/2007
Last updated
05/01/2026
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