Provider Demographics
NPI:1326073289
Name:BAEZ, DAYSI (MD)
Entity Type:Individual
Prefix:DR
First Name:DAYSI
Middle Name:
Last Name:BAEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9712 63RD DR STE CC
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2245
Mailing Address - Country:US
Mailing Address - Phone:718-997-0900
Mailing Address - Fax:718-997-6460
Practice Address - Street 1:9712 63RD DR STE CC
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2245
Practice Address - Country:US
Practice Address - Phone:718-997-0900
Practice Address - Fax:718-997-6460
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01696280Medicaid
NY01696280Medicaid