Baez, Julissa

Baez, Julissa is an individual health care provider with primary practice located at 232 E 12Th St Unit 1G, New York NY 10003-9151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Baez, Julissa can be contacted via phone (646) 524-6351.

Contact Information

Primary practice address
232 E 12Th St Unit 1G New York NY 10003-9151
Fax: (646) 524-6362
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 232901 New York

Profile Details

NPI number 1609091909
LBN Legal business name Baez, Julissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Nov 19th, 2012 - about 12 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 1609091909 NPPES
New York MEDICAID 02797648

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