Organization
STEWART BAE MEDICAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART H BAE M.D (CEO)
(718) 353-9338
Entity
Organization
Contact information
Practice address
3122 UNION ST, SUITE 1B, FLUSHING, NY 11354-2332
(718) 353-9338
(718) 353-9337
Mailing address
PO BOX 541195, FLUSHING, NY 11354-7195
(718) 353-9338
(718) 353-9327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
183407
NY
207RN0300X
Nephrology Physician
Primary
183407
NY
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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