Individual
REYNALDO M BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90-37 PARSON BLVD, JAMAICA, NY 11432
(718) 262-5572
Mailing address
90-37 PARSON BLVD, JAMAICA, NY 11432
(718) 262-5572
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
AO95388-1
NY
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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