Baez, Juan Manuel

Baez, Juan Manuel is an sole proprietor health care provider with primary practice located at 41-61 Kissena Blvd , Flushing NY 11355-2686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Baez, Juan Manuel can be contacted via phone (718) 663-5008.

Contact Information

Primary practice address
41-61 Kissena Blvd Flushing NY 11355-2686
Fax: (718) 663-5008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 254097 New York

Profile Details

NPI number 1881832871
LBN Legal business name Baez, Juan Manuel
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2009
Last updated Aug 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881832871 NPPES
New York MEDICAID 03313471

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